Staff Nurse - Hospital Nurse II at State of Maine

1. First Name *

2. Last Name *

3. Address (Include City, State and Zip Code) *

4. Email *

5. Phone *

6. Resume or Work History - If you do NOT have a resume, please visit http://www.maine.gov/bhr/node/174 and complete the work history section. Once complete, the document can be uploaded to the Resume or Work History section below *

7. Cover Letter

8. Are you a current or former employee of the State of Maine? *

9. Are you at least 18 years of age? *

10. Do you have a valid driver's license? *

10a. State Issued

10b. If Yes, which type?

Class A
Class B
Class C

11. List your geographical location preference (i.e. Augusta/Kennebec County; Portland Cumberland County, etc)

12. *Only for candidates who upload a resume: If your resume does not have month/year of employment listed, please list the Company Name, Job Title, and Month and Year You Started and Ended Your Three (3) Most Recent Jobs. This is necessary for assessment of qualifications.

13. Are you willing to work overtime? *

14. What shifts are you willing to work? *

1st
2nd
3rd

15. Veteran's Preference: Maine law provides a preference to qualified veterans and Gold Star spouses by ensuring they are offered an interview. If you are a veteran or Gold Star spouse and wish to take advantage of this preference, please indicate by checking the appropriate box below. Documentation is required. For more information, visit http://www.maine.gov/bhr/state_jobs/veteran.htm

15a. If you are a veteran or Gold Star spouse and wish to take advantage of the veteran's preference, please submit documentation here (DD 214, DD 1300).

16. Only US.. citizens or aliens who have a legal right to work and remain permanently in the U.S. are eligible for employment. Can you, after employment, submit verification of of your legal right to work in the United States? *

17. How did you hear about this job opportunity? *

18. Disability Preference: Maine law provides a hiring preference to persons with disabilities by ensuring that one person with a disability is offered an interview if they meet the minimum qualifications of this position. If you believe that you qualify and wish to request a disability preference, please indicate by checking the appropriate box below..

19. For more information on the Disability Preference, visit: https://www.maine.gov/bhr/node/203

20. Before you submit your application, the State of Maine requires you read and accept the terms and conditions associated with the application process: http://www.maine.gov/bhr/node/175. Please type your name below to confirm you are agreeing to the terms and conditions. Applications without a printed name in the box below are considered invalid and will not be processed. *

Application Form

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