Careers

At St. Luke’s Home and Park Avenue Villa, we are always looking for individuals who share our mission to provide quality care that enhances the dignity and respect of those we serve. We offer a positive work environment and competitive pay and benefits. St. Luke’s Home and Park Avenue Villa is an Equal Opportunity Employer.

For more information about any of our open positions, please contact John Cloutier, Human Resources at jcloutier@stlukeshome.com or call (701) 483-5000.

Online Employment Application

Employment Application

Step 1 of 3

St. Luke’s Home

242 Tenth Street West

Dickson, ND 58601

An Affirmative Actiom / Equal Opportunity Employer
Pre-Hire Inquiries
Position(s) Applied:
Date:
MM slash DD slash YYYY
Name
First: Initial: Last:
Phone#:
Cell#:
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Have you been employed here before?
- Yes
- No
Dates:
MM slash DD slash YYYY
Emergency Phone Number:
Email Address:
Can you provide proof you are eligible to work in US if offered employment?
- Yes
- No

Availability to work:

Full-Time:	Part-Time:

Shift(s)

Any:	Day Shift:	P.M. Shift:	Night Shift:

Do any of your friends work here?
- Yes
- No
Names:
First Last
Do any of your relatives work here?
- Yes
- No
Names:
First Last
Are you subject to recall?
- Yes
- No
Company/Military Service:
If your application is considered favorably, on what date are you available for work?
Have you ever been convicted of abuse of persons in your care?
- Yes
- No
If yes, which state(s)
If yes explain:
License/Certification #:
Have you ever been convicted of a felony?
- Yes
- No
If yes, explain:
Personal References
Personal Reference (not related to you)
Name
First: Middle Initial: Last:
Relationship:
Phone #:
How long have you known this person?
Name
First: Middle Initial: Last:
Relationship:
Phone #:
How long have you known this person?
Name
First: Middle Initial: Last:
Relationship:
Phone #:
How long have you known this person?
Employment History
Starting with present or last job, list all jobs held including military service assignments.
1. Employer:
First Last
Phone #:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates of Employment:

From:	To:

Job Title:
Reason for Leaving:
Supervisor's Name:
First Last

2. Employer:
First Last
Phone #:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates of Employment:

From:	To:

Job Title:
Supervisor's Name:
First Last
Reason for Leaving:
3. Employer:
First Last
Phone #:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates of Employment:

From:	To:

Job Title:
Supervisor's Name:
First Last
Reason for Leaving:
List special skills and qualifications acquired from employment and other experiences:
Education:
List years of school completed and Diploma/Degree:
Release
Having made an application for employment with St. Luke’s Home and desiring them to be informed as to my previous record and character, I hereby authorize St. Luke’s Home to investigate my past record and ascertain any and all information which may concern my record and character, whether having the same record or not and release my present and past employers, references and all persons whomsoever from any damage because of furnishing said information.

I certify that the answers given on this form are true and complete to the best of my knowledge.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Applications are considered active for 90 days. This application is retained for one year after submission.
Signature:
Date:
MM slash DD slash YYYY
TOBACCO FREE FACILITY Our tobacco-free policy is established to do:
Protect the health and safety of all Employees and Visitors to the Workplace Property.
Reduce the exposure of Employees and Visitors to smoking, secondhand smoke and the use of other Tobacco Products.
Establish a standard of healthy, tobacco-free behavior.
Encourage employees who currently use tobacco products to utilize available cessation.

How to Apply for an Open Position with Us

Complete the online Employment Application and EOE Form. If required in the job announcement, attach a current resume and license/certification and Submit; OR
Download and complete the Employment Application and EOE Form. Include a current resume and photocopy of current license/certification.
Deliver in person or by mail to:

John Cloutier, Human Resources
St. Luke’s Home
242 10th Street W.
Dickinson, ND 58601

Employment Application

Step 1 of 3

St. Luke’s Home

242 Tenth Street West

Dickson, ND 58601

An Affirmative Actiom / Equal Opportunity Employer

Pre-Hire Inquiries

Personal References

Employment History

Release

St. Luke’s Home

242 Tenth Street West

Dickson, ND 58601

Demographics

How to Apply for an Open Position with Us

Contact Us