Employment Application - Apply for Job - Cedar Lane Senior Living Community

Employment Application Form

Please complete the form below and press the send button. We will be in contact with you shortly.

Date of Application

Applicant Name

First Name

Middle Name

Last Name

Address

Street

City

State

Zip

Contact Phone

Email address(required)

Position(s) applied for

How did you hear about our position?

If you are under 18, can you furnish a work permit?

Have you filled out an application here before? If so, when?

Have you been employed here before? If so, when?

Are you legally eligible for employment in this country?

Date available for work

Type of employment desired

Full time

Part time

Which shifts are you available to work

Day

Evening

Night

What is your desired salary range or hourly rate of pay?

Are you able to perform the "essential functions" of the job for which you are applying (with or without reasonable accommodation)?

Yes

Need more information about the job's "essential functions" to respond

This question is not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.

Current Employer

Company Name, Phone, Address, Job Title, Supervisor, Date of Hire, Why do you want to leave?

Previous Employer

Company Name, Phone, Address, Job Title, Supervisor, Date of Hire, Date of Termination, Why did you leave?

Explain any gaps in your employment, other than those due to personal illness, injury or disability.

Have you ever been fired or asked to resign from a job? If yes, please explain.

Summarize any special training, skills, licenses and/or certificates that may assist you in performing the position which you are applying.

Educational Background (School Name, City, State, Years completed, Major/Minor)

References (at least three) (Name, Title, Relationship to you, Telephone, # of years known)

List special accomplishments, publications, awards, etc.

Please upload your resume and cover letter

Maximum size 10MB

Are you a person?(required)

This field should be left blank