Give Us A Call (541) 600 8799

Join Our Team

Employment Application

  • Hummingbird Care Home Employment Application

    Thank you for your interest! We're always interested in having new qualified people join our team!

    Notice: False or misleading information provided on this application or during interviews, if discovered after employment, may result in discharge. We do not discriminate because of gender, age, race, ethnic background, religion, disability, sexual orientation, marital status or political beliefs and affiliations. This is not an employment contract.

  • Date Format: MM slash DD slash YYYY
    You may select more than one.
    You may select more than one.
    You may select more than one.
  • Previous Employment History

  • Employer NameJob TitleJob Start/End DatesJob DutiesContact Phone NumberMay we contact? 
    You may enter as many employers as you need by selecting the plus button.
  • Education Information

  • School NameSchool LocationArea of StudyDegree Earned 
  • Driving Information

    Most daytime and evening positions require that you have a valid Oregon Driver’s License, are aged 18 or over and have no or minimal driving infractions. If hired, these factors determine your ability to be covered by the agency’s insurance carrier and may limit what hours and days you can work.In order to process your application, we need your Driver's License Number. Please also be advised that we require an Oregon Driver's License in order to complete the hiring process with you.
  • Oregon DHS Protective Services Division

    Oregon DHS requires that we ask the following question.
  • Agreements and Authorizations

    By signing or typing your name below, you agree to the following as part of the application process:

    I authorize investigation of all statements contained in this application as may be deemed necessary for an employment decision. All test results and records are confidential.

    Please enter your full name below. This will serve as your signature on this application for employment. I understand that any employment offered by this firm is of an "at will" nature, meaning that I may quit at any time, and the company may discharge me at any time, with or without cause, and that if hired, I am required to abide by all rules and regulations of this company. I understand that this application will be active for only 60 days; and if I want to be considered for a job after that time, I must reapply by completing a new application. I certify that the answers given on this application are complete and true to the best of my knowledge.

  • Typing your name will serve as a signature for this document.
  • Date Format: MM slash DD slash YYYY