Test Job #1
This institution does not discriminate in hiring or any other decision on the basis of race, color, sex, citizenship, national origin, ancestry, Vietnam era veteran status, or on the basis of age or physical or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination. I voluntarily give this institution the right to make a thorough investigation of my past employment and activities, agree to cooperate in such investigation and release from all liability all person, companies, or corporations supplying such information. I consent to take the physical examination, and such future physical examinations as may be required by this institution at such times and places as the institution shall designate. I understand that an offer of employment may be contingent on passing the physical examination which relates to the essential duties I would be required to perform. I understand that my employment is at will and that either party is free to terminate the employment relationship at any time without cause. I also understand that my employment may be terminated for any misstatement or omission of fact appearing on this application form. If employed, I will be required to complete an Employment Verification Form (I-9), and within three days show satisfactory evidence of identity and eligibility for employment. TO ACCEPT, PLEASE TYPE YOUR NAME IN THE ABOVE SPACE AS YOUR ELECTRONIC SIGNATURE
APPLICANT STATEMENT: As a prospective employee, I understand that the above information is required in order for the facility to request a sexual offender and criminal background check be conducted by the State Police. If the facility representative determines that actions by a court of law against a prospective employee are such that they indicate the applicant is unsuited to work in a nursing home, the applicant will not be considered for employment. I understand the importance of protecting the safety and well being of the residents of the facility. I understand that conviction of a crime may be deemed cause for rejection if there is an indication of behavior that might place others at risk. A copy of the background check may be obtained within 60 days upon written request of the applicant. PLEASE TYPE YOUR NAME IN THE ABOVE SPACE AS YOUR ELECTRONIC SIGNATURE IF YOU CONSENT TO THIS BACKGROUND CHECK.
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The Center has many active volunteers donating their time and talents daily to the residents. The volunteer program is coordinated through the efforts of the Center’s Activities Department. The Center prides itself on quality care and relies a great deal on volunteers to supplement the services not funded through traditional methods of reimbursement.
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