Online Employment Application

It is the policy of the Home to provide an equal employment opportunity to all qualified employees and qualified applicants for employment without regard to race, color, religion, sex, national origin, sexual orientation, age, or disability, or any other basis prohibited by law. This policy applies to all terms and conditions of employment including, but not limited to, hiring, placement, training, compensation, transfer, promotion, leave of absence, termination, layoff and recall.

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(IF YOU ARE NOT A UNITED STATES CITIZEN AND YOU ARE NOT LEGALLY ELIGIBLE TO WORK IN THE UNITED STATES, YOU CANNOT BE EMPLOYED AT THE LISNER-LOUISE-DICKSON-HURT HOME.)

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Please give an accurate and complete employment history. Be sure to include any relevant volunteer experience you may have had. Start with your current or most recent employer.

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City

State

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We may contact any or all of the employers listed above unless you indicate those you DO NOT want us to contact:

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The information provided in this application for employment is true, correct, and completes to the best of my knowledge. If you employ me, I understand that false or misleading information given in my application or interview(s) may result in discharge and that my first 90 days of employment will be probationary, with the possibility of extension at the Home’s discretion. In consideration of my employment, I agree to conform to the rules and regulations of the Lisner-Louise-Dickson-Hurt Home and understand that my employment and compensation can be terminated, with or without cause, and with or without notice at any time, at the option of the Home or myself. I also understand that nothing appearing in the Home’s employee handbook or any other publication changes this “at-will” relationship.

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I authorize you to make such investigations and inquires of my personal employment history from my past employers as may be necessary in arriving at an employment decision. I hereby release employers, schools, or other individuals from all liability in responding to inquiries in correction with my application for employment.

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Your application will be considered active for 30 calendar days. After that time, if you continue to have interest in employment with the Lisner-Louise-Dickson-Hurt Home, you may be required to submit another application.

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FOR EMPLOYER’S USE ONLY

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For Nursing Department applicants only, have years of experience been verified? (YES) (NO) if verified, how many years of experience as a CNA, LPN, or RN does the applicant have? _______________ years

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