Send Your Referals

Better Health Solutions -
Revolutionalize Your
Wellness

Open Hours

Monday – Friday:

8AM–8PM
Saturday – Sunday:


8AM–6PM
Emergency Service: 24/7

Appointments

Call us to register
appointments at

(413) 301-7337 or

register online

Careers

    Applicant Information

    Enter Applicants Name*

    Address*

    City, State and Zip code*

    Telephone*

    Email*

    Date of Application

    Employment Position

    Position(s) applying for

    Type of Employment

    How did you hear about this position?

    What days are you available for work?

    What hours or shift are you available for work?

    If needed, are you available to work overtime?

    On what date can you start working if you are hired?

    Do you have reliable transportation to and from work?

    Salary desired

    Personal Information

    Have you ever applied to or worked for Better Healthcare Solutions before?

    When?

    Do you have any friends, relatives, or acquaintances working for Better Healthcare Solutions?

    State name & relationship

    Are you 18 years of age or older?

    Are you a U.S. citizen or approved to work in the United States?

    What document can you provide as proof of citizenship or legal status?

    Will you consent to a mandatory controlled substance test?

    Do you have any condition which would require job accommodations?

    Please describe accommodations required below

    Have you ever been convicted of a criminal offense (felony or misdemeanor)?

    Please state the nature of the crime(s), when and where convicted and disposition of the case

    (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

    Job Skills/Qualifications

    Education and Training

    High School

    Location (City, State)

    Year Graduated

    Degree Earned

    College/University

    Collage Location

    Collage Year Graduated

    Degree Earned

    Vocational School/Specialized Training

    Vocational Location

    Year Graduated

    Degree Earned

    Military

    Are you a member of the Armed Services?

    What branch of the military did you enlist?

    What was your military rank when discharged?

    How many years did you serve in the military?

    What military skills do you possess that would be an asset for this position?

    Previous Employment

    Employer

    Job Title

    Supervisor Name

    Employer Address

    City, State and Zip Code

    Employer Telephone

    Dates Employed

    Reason for leaving

    Employer Name

    Job Title

    Supervisor Name

    Employer Address

    City, State and Zip Code

    Employer Telephone

    Dates Employed

    Reason for leaving

    Employer Name

    Job Title

    Supervisor Name

    Employer Address

    City, State and Zip Code

    Employer Telephone

    Dates Employed

    Reason for leaving

    References

    Please provide 3 personal and professional reference(s) below:

    Reference

    Contact Information

    Additional Information

    Why should you be considered for this position?

    What makes you the best candidate for this position?

    Tell us a little about yourself

    Do you have any experiences or knowledge that will benefit the company?

    AT-WILL EMPLOYMENT

    The relationship between you and the BETTER HEALTHCARE SOLUTIONS is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the BETTER HEALTHCARE SOLUTIONS. No representative of BETTER HEALTHCARE SOLUTIONS has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

    Applicant Signature*

    Date

    Answer the Question below: 1+9?

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