Website GreenFieldsCCC GreenField Health & Rehabilitation Center

For All the Right Reasons

The GreenFields Continuing Care Community was established in 1956. We are a progressive organization that cares about our employees and the residents and patients we serve. Grow your career with us!

Looking for motivated individuals to serve our residents and patients! Candidates must be able to work various shifts on weekends, holidays, and throughout the week.

Pay rate starts at $11.80/hour plus pay for experience

Dietary Aides: Full-time & Part-time & Per Diem

Days 6:30 am – 2:30 pm
Eve 3:30 pm – 7:30 pm

DIETARY AIDE RESPONSIBILITIES:

Prepare and serve meals for residents.
Must be able to maintain a clean work area and work on a team.

EDUCATION AND EXPERIENCE:

Must be a grammar school graduate.
Experience in food service/related industry preferred.
High school diploma/GED is a plus.

Please apply online, by email or in person!

~On the Spot Interviews Monday-Friday Based on Availability between 10 a.m.-3 p.m.~

Please bring:

2 forms of Government Issued ID i.e., Driver’s License & Social Security Card (must include picture ID, must be originals and not expired for Drug Test & I-9)

Helpful if you bring

Your immunization records reflecting your MMR (measles, mumps & rubella) and
Flu shot if you have had one this season

GreenField Health & Rehabilitation Center

5949 Broadway

Lancaster, NY 14086

716.684.3000

Recruiter@NiagaraLutheran.org

www.TheGreenFields.org

EOE

dining food service server culinary

Personal Info
Name*
First Middle Initial Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Email
Phone*
Detailed Personal Information
Application Date*
Date Format: MM slash DD slash YYYY
Secondary Telephone Number
How did you hear about us?
If referred, name of Employee:
Date Available to Work*
Date Format: MM slash DD slash YYYY
Salary Requirement
Work Availability:*
- Full-Time
- Part-Time
- Per Diem
Shift Desired:*
- Day
- Even.
- Nights
Have you been previously employed by any of the facilities within our organization?*
Have you ever worked for any of our facilities under a different name?*
If Yes, what name?
Are you legally eligible to work in the United States?*
Are you at least 18 years of age?*
If not 18, do you have working papers?*
Have you ever been convicted of a crime?*
If Yes, provide details:
Are you able to perform the essential functions of the position for which you are applying with or without reasonable accommodation?
If not, what accommodation could be made to enable you to perform in this position?
Please complete this section only if this position requires the use of a company car or driving a vehicle for company business.
Operator's License Number
License State
Please list any moving motor vehicle violations incurred within the last 3 years
* Note: Criminal background checks are conducted on all applicants. A conviction record will not necessarily be a bar to employment. Factors such as age and date of the offense, nature and seriousness of the violation or offense, and rehabilitation will be taken into account.
Educational History - High School or Below
Name and Location of High School
Choose Highest Grade Completed:
- 9
- 10
- 11
- 12
- GED
Educational History - College
Name and Location of College
If degree is in progress, number of credits completed:
If completed, what degree was granted and Major Course of Study
Name and Location of College
If degree is in progress, number of credits completed:
If completed, what degree was granted and Major Course of Study
Name and Location of College
If degree is in progress, number of credits completed:
If completed, what degree was granted and Major Course of Study
Other Relevant Information
Professional Designations (Name of Program (s) / Designations(s))
Have you received any additional training relevant to the position applying for?
Remarks/Skills: List any additional skills - keyboarding (WPM), computer equipment used, software, languages, etc
Military Service Record
Were you in the U.S. armed forces?
Did you receive any training that might be relevant to the position for which you are applying?
If Yes, provide details:
Employment History
Company Name
Currently employed?
- Yes
- No
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone Number and Extension
Last Position Held
Starting Annual Base Salary
Final Annual Base Salary
Supervisor's Name
Duties Performed
Reason for Leaving
May We Contact This Employer?*
Company Name
Currently employed?
- Yes
- No
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone Number and Extension
Last Position Held
Starting Annual Base Salary
Final Annual Base Salary
Supervisor's Name
Duties Performed
Reason for Leaving
May We Contact This Employer?*
Company Name
Currently employed?
- Yes
- No
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone Number and Extension
Last Position Held
Starting Annual Base Salary
Final Annual Base Salary
Supervisor's Name
Duties Performed
Reason for Leaving
May We Contact This Employer?*
References
Name*
Address/City/State/Zip*
Telephone*
Relationship*
Years Known*
Name*
Address/City/State/Zip*
Telephone*
Relationship*
Years Known*
Name*
Address/City/State/Zip*
Telephone*
Relationship*
Years Known*
Health Care Employers
List ALL health care employers that you have worked for over the past ten years:
Other State Certifications
Are you currently registered, licensed, or certified by any state?*
State Issued
Type
Number
Exp. Date
Date Format: MM slash DD slash YYYY
State Issued
Type
Number
Exp. Date
Date Format: MM slash DD slash YYYY
State Issued
Type
Number
Exp. Date
Date Format: MM slash DD slash YYYY
Disclaimer
I certify that the information provided in this application is true, correct, and complete to the best of my knowledge. I understand that any misstatements or omission of information on this application would be sufficient cause for and may result in the rejection of this application or dismissal from employment. I understand that neither this application nor an offer of employment creates a contract of employment between me and the facility. I further understand that my employment can be terminated at any time for any reason with or without cause by me or the facility. I understand I will be required to complete a 90 introductory period. I know that the facility will investigate my statements and agree that it may obtain any additional information it considers useful in deciding whether to employ me. I have read and understand the company's mission and values.*
- I agree to the terms and conditions listed above
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DIETARY AIDES FOR THE GREENFIELDS

The GreenFields Continuing Care Community was established in 1956. We are a progressive organization that cares about our employees and the residents and patients we serve. Grow your career with us!

Looking for motivated individuals to serve our residents and patients! Candidates must be able to work various shifts on weekends, holidays, and throughout the week.

*Pay rate starts at $11.80/hour plus pay for experience*

Dietary Aides: Full-time & Part-time & Per Diem

Days 6:30 am – 2:30 pm

Eve 3:30 pm – 7:30 pm

DIETARY AIDE RESPONSIBILITIES:

Prepare and serve meals for residents.

Must be able to maintain a clean work area and work on a team.

EDUCATION AND EXPERIENCE:

Must be a grammar school graduate.

Experience in food service/related industry preferred.

High school diploma/GED is a plus.

Please apply online, by email or in person!

~On the Spot Interviews Monday-Friday Based on Availability between 10 a.m.-3 p.m.~

Please bring:

2 forms of Government Issued ID i.e., Driver’s License & Social Security Card (must include picture ID, must be originals and not expired for Drug Test & I-9)

Helpful if you bring

Your immunization records reflecting your MMR (measles, mumps & rubella) and

Flu shot if you have had one this season

GreenField Health & Rehabilitation Center

5949 Broadway

Lancaster, NY 14086

716.684.3000

Recruiter@NiagaraLutheran.org

www.TheGreenFields.org

EOE

dining food service server culinary

Personal Info

Detailed Personal Information

Please complete this section only if this position requires the use of a company car or driving a vehicle for company business.

Educational History - High School or Below

Educational History - College

Other Relevant Information

Military Service Record

Employment History

References

Health Care Employers

Other State Certifications

Disclaimer

Niagara Lutheran Health Foundation

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Pay rate starts at $11.80/hour plus pay for experience