Employment

Join Our Caring Team at Lawndale Manor

At Lawndale Manor, we believe our dedicated team is the foundation of our community. If you are seeking a rewarding role where you can positively impact the lives of our residents, we invite you to discover the opportunities we have available. We look forward to hearing about your skills, your dedication, and your desire to become a valued member of the Lawndale Manor family.

Date
MM slash DD slash YYYY
PERSONAL
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Best Daytime Phone
Position Desired
Available to Start
When would you be available to begin work?
Shift Availability
This position requires both day, night, and weekend shifts. Would you be available to work these shifts (with flexibility)?
- Yes
- No
Shift Availability Notes
EMPLOYMENT
List most current employer first, including U.S. Military Service.
Employer
Position
Dates of Employment - From
Employed From:
Dates of Employment - To
To:
Salary
Supervisor
Telephone
Reason for Leaving
May We Contact
May we contact this employer?
- Yes
- No
Employer
Position
Dates of Employment - From
Employed From:
Dates of Employment - To
To:
Salary
Supervisor
Telephone
May We Contact
May we contact this employer?
- Yes
- No
REFERENCES
Give the name of one person not related to you.
Phone
REFERENCES: Name
Phone
Relationship
Were You Referred by Someone?

REFERRAL
May we thank anyone for referring you to us?
- Yes
- No
Referred By
APPLICANT’S CERTIFICATION AND AGREEMENT
I certify that all information contained in this employment application is true and complete to the best of my knowledge. I authorize Lawndale Manor to make inquiries into my employment, educational, financial, or other relevant history as part of the process for determining my eligibility for employment. I hereby release Lawndale Manor and its representatives from any and all liability in connection with the obtaining of such information and the resulting employment decision. I understand that any falsification or material omission on this application is grounds for termination of employment. I also acknowledge that, if offered and I accept a position, I will be required to comply with all company policies, rules, and regulations of Lawndale Manor. I acknowledge that this application, along with any company policies or pre-employment discussions, does not create a contract for permanent employment. My employment with Lawndale Manor is "at-will," meaning that either I or Lawndale Manor may end the employment relationship at any time, for any reason, with or without cause or advance notice.
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Join Our Caring Team at Lawndale Manor

PERSONAL

EMPLOYMENT

REFERENCES

REFERRAL

APPLICANT’S CERTIFICATION AND AGREEMENT