Health Care Professional Careers

Building on the principle of person-centered planning, RCCR strives to provide services that best achieve each person’s objectives.

Position Avaialbe for Heath Care Professionals

Apply Online Below or Mail or Email Applications to:

Job Application (Printable PDF)

Renville County Community Residences, Inc.
Attn:Kelly Plumley
831 Grove Ave.
Bird Island, MN 55310

Email: kplumley@communityresidences.com

Name*
First Last
Address*
Street Address City State ZIP Code
Phone
Email*
Social Security Number:
Position(s) Applied for:
Salary Desired
Are you applying for:
- Full Time
- Part Time
- Temporary
Date available for work:
Would you consider working any shift?
- Yes
- No
Weekend & Holidays?
- Yes
- No
On Call?
- Yes
- No
Shift Preference
- Day
- Evenings
- Weekends
How were you referred to RCCR, Inc.?
Do you have any relatives or friends employed at RCCR, Inc.?
- Yes
- No
If yes, which department?
Have you ever filed an application with us before?
- Yes
- No
If yes, when?
Are you a U.S. Citizen or an alien legally authorized to work in the United States?
- Yes
- No
Education
High School
School Name and Location Years Completed Did you Graduate? Diploma / Degree
Undergraduate College/University
School Name and Location Course of Study Years Completed Did you Graduate? Diploma / Degree
Graduate/Professional
School Name and Location Course of Study Years Completed Did you Graduate? Diploma / Degree
Other business college, other special courses (Include special military training, post graduate and nursing)
Area of specialization or other interest
List health care, business or industrial equipment operated
Professional License and/or Certifications
Are you currently:
- Registered
- Licensed
- Certified
Eligible for:
- Registered
- Licensed
- Certified
If registered, licensed or certified:
Type State Issued Date No.
Employment Experience (most recent first)
Employer 1
Date Employed From/To
Name of Employer
Employer Address and Phone Number
Supervisor
Title
Duties
Hourly Rate/Salary
Reason for Leaving
May we contact this employer?
If no, please explain:
Employer 2
Date Employed From/To
Name of Employer
Employer Address and Phone Number
Supervisor
Title
Duties
Hourly Rate/Salary
Reason for Leaving
May we contact this employer?
If no, please explain:
Employer 3
Date Employed From/To
Name of Employer
Employer Address and Phone Number
Supervisor
Title
Duties
Hourly Rate/Salary
Reason for Leaving
May we contact this employer?
If no, please explain:
Did you serve in the U.S. Armed Services?
If yes, what branch?
Have you volunteered your time or services?
If yes, where?
Briefly describe duties and skills acquired through volunteer service (include dates):
References
(List at least 3 references who are not relatives or employers)
Name Relationship/Title Address Phone
Reference #2
Name Relationship/Title Address Phone
Reference #3
Name Relationship/Title Address Phone

School Name and Location	Years Completed	Did you Graduate?	Diploma / Degree

School Name and Location	Course of Study	Years Completed	Did you Graduate?	Diploma / Degree

School Name and Location	Course of Study	Years Completed	Did you Graduate?	Diploma / Degree

Type	State Issued	Date	No.

Building on the principle of person-centered planning, RCCR strives to provide services that best achieve each person’s objectives.

Position Avaialbe for Heath Care Professionals

Apply Online Below or Mail or Email Applications to:

Education

Professional License and/or Certifications

Employment Experience (most recent first)

References