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Gorham House 2023

Employment

Employment Application

Use the form below to inquire about employment opportunities with our company.

Step 1 of 7

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  • Personal Information

    Please let us know your preferred method of contact
  • Employment Desired

  • Desired PositionPreference (First, Second or Third) 
  • Education/U.S. Military Service

  • School Name & AddressMajor# of Years CompletedGPADegree/Diploma 
    Please let us know about any special training or education that you would like us to consider. (IE vocational school, professional education, laboratory or X-ray training, et cetera)
  • Professional Licenses and/or Certifications

  • TypeOrganization or State IssuedDate IssuedNumber (if applicable) 
  • References & Employment History

  • NameRelationshipPhone NumberBest time to be reached 
  • Employment History

    Give employment record as completely as possible listing current or most recent employer first. Please list your last 3 employers, but up to 5 if desired.
  • Company NameCompany AddressYour Position/TitleJob DutiesSupervisor's Name & TitleStart DateEnd DateMay we contact? 
  • This section is to be completed by Licensed Professionals (RN or LPN) ONLY. All others can skip by clicking "Next" at the bottom of the page.

  • Maine License #Expiration DateAre there any restrictions on your license (Yes or No) 
  • Which State?Date Licensed/Registered? 
  • This section is to be completed by CMT, CNA CRMA and PSS ONLY. All others can skip this section by clicking the "Next" button at the bottom of this page.

  • Certification Type (CMT, CNA, CRMA, PSS)Certification DateExpiration DateName of the Agency Where Certified 
  • General Information and Acknowledgement

  • NamePhone Number 
  • Acknowledgement and Consent

    Employment Understanding (Please read and sign) This institution does not discriminate in hiring on the basis of race, color, sex, citizenship, national origin, ancestry, sexual orientation, Vietnam era veteran status, or on the basis of age, physical or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination. I voluntarily give this institution the right to make a thorough investigation of my past employment, agree to cooperate in such investigation and release from all liability or responsibility all persons, companies or corporations supplying such information. I understand that my employment is at will, and that either party is free to terminate the employment relationship at any time without cause. I also understand that my employment may be terminated for any misstatement or omission of fact appearing on this application form. I authorize Continuum to check any or all references listed on page two and conduct a criminal background check. If employed; I will be required to complete an Employment Verification Form (I-9), and within three days show satisfactory evidence of identity and eligibility for employment. It is the ongoing and continuous obligation of all employees of Continuum to alert Continuum’s Human Resource Department of any conviction or finding that would disqualify them from continued employment with Continuum under state or federal law.
  • Printing your First Name + Middle Initial + Last Name will act as your digital signature.
  • MM slash DD slash YYYY
  • Accepted file types: doc, docx, rtf, txt, pdf, Max. file size: 195 MB.
    If you have a resume you’d like to attach, please do so here. This is not required.
  • Accepted file types: doc, docx, rtf, txt, pdf, Max. file size: 195 MB.
    Please upload your cover letter here. You may also copy and paste the contents of your cover letter in the space below.
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  • Home
  • Services
    • Independent Living
    • Independent plus
    • Assisted Living
    • Nursing Care
    • Memory Care
    • Preschool
    • Activities
  • Meet the Team
  • Contact
  • Career Opportunities