Human Resources · Blue Ash

Recruitment Specialist

CareStar is seeking a full-time Recruitment Specialist in Hamilton County.

What is your current full address?

Street Address, City, State Zip

Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment)

Yes

Are you at least 18 years or older? (If no, you may be required to provide authorization to work)

Yes

Do you have reliable transportation?

Yes

Have you ever worked for this Company before?

Yes

If yes, please provide details (Where/When/Job Title)

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?

Yes

If no, please explain.

When would you be available to begin work?

Type of employment desired?

Part Time

Full Time

Hourly rate earned at last position?

Did you attend college?

Yes

If yes, what is the name of the school?

Did you graduate from this university?

Yes

What degree did you receive?

If you have completed any special courses, seminars and/or training that would help you to perform the position for which you are applying, please describe.

In conjunction with my application for employment (including contract services) my prospective employer I understand that you intend to hire third parties to obtain Consumer Reports and /or Investigative Consumer Reports (hereinafter called "Reports") about me as defined in the Fair Credit Reporting Act (FCRA). These "Reports" may include information concerning my credit worthiness, credit standing, credit capacity, character, academic background, credentials, work habits, work performance, work experience, reasons for work termination, general reputation, personal characteristic or mode of living. You also may seek information concerning my employment history, workers' compensation history, motor vehicle record, education background, civil litigation history and/or criminal record.

Yes

Have you lived in the state the position is located in for 5 or more years?

Yes

If yes, do you have documentation to prove your residency for at least 5 years?

Yes

Please sign below.

Are you or is any member of your immediate family or household a current consumer of Ohio Home Care Program (OHCP) services or an applicant for services under the non-OHCP contract?

Yes

If you are responsible for work under any CareStar contract other than the OHCP contract, are your or is any member of your immediate family or household a current client, consumer or applicant for services under the non-OHCP contract?

Yes

Do you hold an ownership interest in any business?

Yes

If yes, what is the name of the company?

What service or product is provided by this company?

Are you self-employed or employed by any individual, business venture, or organization other than CareStar?

Yes

If yes, what is the name of other employer?

What service or product does the other employer provide?

What hours are you scheduled to work?

Do you plan to continue other employment if offered employment with CareStar?

Yes

Do you participate in ANY activities not related to CareStar business during the hours of 8:00 am to 5:00 pm weekdays? (ie:classes, volunteer work, home business activities, etc.)

Yes

If yes, what is the activity?

When is the activity scheduled?

How would you anticipate responding to urgent calls during this time?

Are you a Medicaid Non-Agency Provider (formerly known as an Independent Provider)?

Yes

If yes, in what program?

What is your provider number?

Is any member of your immediate family or household employed by a Home Care Agency, long term care facility, medical equipment supplier or any waiver service provider?

Yes

If yes, list the immediate family or household member's name, relationship to you, employer, and position.

Does any member of your immediate family or household provide services or supplies as a Medicaid Non-Agency Provider (formerly known as an Independent Provider) or contractor?

Yes

If yes, list your family member's name, relationship to you, the services they provide, and their provider number.

Are there any other activities, relationships, investments or other interests that you would like to bring to our attention in an effort to clarify the possibility of a conflict of interest?

Personal information

First name

Last name

Phone

Upload resume

Additional files

Cover letter