EMPLOYMENT APPLICATION

If you would like to apply for a full-time or part-time position with Compassionate Hearts for Seniors, please complete the form below. We will contact you as soon as possible after receiving your application.

Compassionate Hearts for Seniors: Employment Application
Enter the complete name, street address, city state and zip code of the last high school you attended.
Enter the dates you attended this high school.
If you hold a college degree, please provide details here.
If you attended college, enter the name, street address, city, state and zip code of the last college you attended.
If you attended college, enter the dates of your college attendance here.
Enter details of other educational attainments, certificates, and/or schools you have attended, including the names, addresses, and dates of attendance.
Enter the complete street address, city, state and zip code of your first reference here.
Enter the complete street address, city, state and zip code for Reference #2.
Enter the complete street address, city, state and zip code for Reference #3.
Enter the complete street address, city, state and zip code for the company where you last worked.
Describe your job responsibilities at your most recent place of employment.
Enter your beginning and ending dates of employment at your most recent place of employment.
Enter your reasons for leaving your most recent place of employment.
Enter the complete street address, city, state and zip code for the second company you have worked for.
Enter your job title at this company.
Describe the responsibilities you held at this company
Describe your reasons for leaving this company
Enter the job title you held at this company
Provide details on any additional work experience you would like us to consider as part of your application.
If applicable, please describe any gaps in your work history.
If you answered yes to the question above, please provide the reasons for discharge / requested resignation here.
Please provide details concerning any additional specialized studies, research or experience you would like us to consider as part of your application for employment.
If you speak languages in addition to English, please specify them here.

DISCLAIMER

By submitting this form to Compassionate Hearts for Seniors, I hereby certify that the facts set forth on this online employment application are true and complete to the best of my knowledge.  I authorize Compassionate Hearts for Seniors to verify the accuracy and to obtain reference information on my work performance. I hereby release Compassionate Hearts for Seniors, Inc. from any / all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts caleld for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations fo employment with Compassionate Hearts for Seniors, Inc. However, I further understand that neither the policies, rules, regulations of employment not anything said during the interview process shall be deemed to constitute the terms of an implied employment contract.  I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.