Employment Application

Which Location do you want to apply?

Applying for the Position of

Care Coordinator; Provide prenatal care and child care coordination to medicaid recipients in Milwaukee County. Provide resources, home visits, perform record keeping duties, training (when applicable) goal setting, and attend community events. Skills Preferred; Customer Services, case management, time management, computer literacy, reliable transportation, ability to meet virtually with clients, be compassionate, patient, easily adaptable to change, self starter, team player and a motivator. Tools Needed to be successful; Cell phone, laptop or computer, reliable transportation, internet, trimester calculator.

Full Name

First Middle Last

Date

Address

Street Address Address Line 2 City State ZIP Code

Phone

Date Available

Social Security No.

Desired Salary

Position Applied for:

Are you a citizen of the United States?

Yes

If no, are you authorized to work in the U.S.?

Yes

Have you ever worked for GOE Trendsetters?

Yes

If yes, when?

Have you ever been convicted of a felony?

Yes

If yes , explain:

Would you like to upload a Resume?

Yes

Resume Upload

Accepted file types: pdf, doc, docx, Max. file size: 16 MB.

Education

Education Level

School Name

Did you Graduate?

Yes

Diploma or Degree:

From

Education Level

School Name

Did you Graduate?

Yes

Diploma or Degree:

From

Education Level

School Name

Did you Graduate?

Yes

Diploma or Degree:

From

References

Please list three professional references

Full Name

Relationship

Company

Position

Phone

Full Name

Relationship

Company

Position

Phone

Full Name

Relationship

Company

Position

Phone

Employment Application

Education

References

Title

Building Better Tomorrows’ Today

Resources

Company