Fresenius Medical Care North America



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Job Title : Social Worker
Job Number: 202092

Required fields are marked with an *

1. General Information

First Name: *

Middle Initial:

Last Name: *

Home Phone: *    () -

Work Phone:    () -

Mobile Phone:    () -

E-mail: *

Address: *

City: *

State/Province: *

Zip/Postal Code: *

Country: *

If you chose , please explain more precisely:

If you chose "Employee Referral", who referred you?

2. Questionnaire

1. Do you have your Master's in Social Work? *
Yes
No

2. Do you have previous or current experience working with renal patients? *
Yes
No

3. Do you have current state licensure? *
Yes
No

4. If you answered no above are you eligible for licensure? *
Yes
No

5. Are you authorized to work in the United States? *
Yes
No

6. Describe your ability for attention to detail. *

7. Describe a work activity you have recently completed that encompasses the following qualities: Dependability and Motivation *

3. Resume

Please paste a resume and an optional cover letter below: *

4. Voluntary Affirmative Action Information

In compliance with federal regulations, Fresenius Medical Care North America gathers and maintains statistics for use in completing our Equal Employment Opportunity reports. To ensure that our statistics are accurate, we would like you to complete the information below.

This information will not be considered in evaluating your qualifications for employment. Please also be assured that this information is voluntary and confidential.

We appreciate your assistance in providing us with this information.

Gender

Female

Male

Ethnic Background

White (Not Hispanic or Latino)

Black or African American (Not Hispanic or Latino)

Asian (Not Hispanic or Latino)

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)

Hispanic or Latino

American Indian or Alaskan Native (Not Hispanic or Latino)

Two or More Races (Not Hispanic or Latino)

I do not wish to participate in the EEO survey.

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