Application for Starr County CHW
All applicants must complete this application.
If you wish to apply for a position other than the Starr County Community Health Worker position, please check for additional job postings at:
With this application, I am submitting (please check all that apply):
References (required, names and contact information of three professional references)
Letter of Application (optional)
You will be able to attach any of these forms at the bottom of this page.
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
Preferred method of contact:
How did you hear about this job opening?
Website (please specify):
Person (please specify):
Agency (please specify):
Other (please specify):
Have you ever been employed by MHP Salud?
If "yes," please give approximate date of employment and position title:
Are you authorized to work in the United States?
On what date are you available to start work?
Can you travel if a job requires it?
Do you have a valid driver's license?
Are you available to work (please check all that apply):
Can you speak Spanish?
If yes, please rate you ability.
Limited Work Proficiency
Professional Working Proficiency
Full Professional Proficency
Native or Bilingual Proficieny
Ability to speak Spanish
Ability to read Spanish
Ability to write in/translate Spanish
Upload your resume document with the following title:
"[Your first name]_[your last name]_Resume"
References (names and contact information of three professional references)
Upload your references document with the following title:
"[Your first name]_[Your last name]_References"
Letter of Application (cover letter)
Upload your cover letter document with the following title:
"[Your first name]_[your last name]_CL"
Attach additional documents, if needed (optional)
Upload your additional document with the following title:
"[Your first name]_[your last name]_Other"
RELEASE OF INFORMATION AUTHORIZATION
I hereby authorize designated representatives of MHP Salud to contact any of my former employers, any of the educational institutions which I have attended, and any other person or organization I have listed which might have information relevant to my application for employment. I further consent to those persons or organizations divulging relevant information to MHP Salud, notwithstanding that it might otherwise be confidential, and request their full cooperation by providing any information requested. I understand that any information obtained by MHP Salud in the course of those contacts will be treated in strictest confidence and hereby waive any right I otherwise might have to obtain, see or review information provided to MHP Salud. I authorize MHP Salud to maintain in confidence all information obtained by it, whether or not my application is successful and whether or not I am employed.
The information in the Application for Employment is true, accurate and complete to the best of my knowledge. I certify I have answered all questions to the best of my ability and I have not withheld any information that would unfavorably affect my application for employment. I understand that consideration of this application and the continuation of any subsequent employment depends; upon the completeness, truth and accuracy of this information. I acknowledge that any misrepresentations or omission of fact in my application, resume or any other materials, or during any interviews, may be the cause for my rejection from employment or may result in my subsequent dismissal if I am hired. MHP Salud may conduct a background check. My signature below authorizes MHP Salud to conduct a background investigation, including criminal convictions, driving records, credit records, educational information, previous employment and personal references, as part of the application process. I hereby consent to
the release of all information related to this investigation, and release MHP Salud from any liability in connection with the use of this information.
I agree that, unless a shorter statute or other period of limitations applies, any claim, suit, action, or other proceeding arising out of my employment or the termination of my employment – including, but not limited to, claims arising under State or federal civil rights statutes – must be brought or asserted by me within 180 days of the event giving rise to the claim, or else the claim is forever barred. I expressly waive any statute or other period of limitations longer than 180 days.
Do Not Fill This Out