Employment Application

Work Preferences And Availability

Personal Data

Education

List the name and location of all schools attended (High Schools, Vocational Business & Professional Schools, Colleges, Etc.)

Professional License,Registration, Certificate or Permit where applicable (ie: RN, LPN, CNA, PCA):

Work History

Please account for your complete employment history over the past 10 years beginning with the most recent position first (including military service and periods of unemployment, schooling, etc). Include all positions even if not related to the position you are inquiring about.

We may contact these employers unless you indicate that you do not want us to contact them. If you do not want us to contact any of these employers, you MUST put a check next to "Do Not Contact".

Technical Skills

References

Declaration & Authorization

I declare that all statements contained in this application are true and correct, to the best of my knowledge. I authorize the Beechwood Continuing Care Community to make any inquiry to determine my suitability for employment, with the understanding that any misrepresentations or omission made herein will be just and due cause for my discharge from employment regardless of when such misrepresentation may be discovered.

Furthermore I understand and confirm that neither this application nor my being accepted for employment at the Beechwood Continuing Care Community will be interpreted by me to create a contract of employment for any particular length of time. I understand that I may terminate my employment at will at any time for any reason and that the Beechwood Continuing Care reserves the same right.

This application is current for only 60 days. I understand that if I have not heard from Beechwood Continuing Care within such 60 day period and still wish to be considered for any employment, It will be necessary to complete a new application.