Apply - Eventide Senior Living Community

Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone Number*
Are you 16 years of Age or older?*
- Yes
- No
Date of Application*
MM slash DD slash YYYY
Date Available for Work*
MM slash DD slash YYYY
Have you filed an application or been employed here before?*
- Yes
- No
Please give date:
Do you have a record of founded child or dependent adult abuse in this state or any other state?*
- Yes
- No
How did you learn of opening?*

Location of Interest
Select your location(s) of interest
Areas of Interest*
Select your area(s) of interest
Work Shift Desired
Hourly Rate/Salary Desired*
Will you accept employment for:*
Are you employed now?*
- Yes
- No

Highest Level of Education Completed
Name of School
School Location
Type of Degree or Certificate
Were you in the U.S. Armed Forces?
- Yes
- No
Please describe any specialized training, apprenticeship, skills and extra-curricular activities you have held:
Please list three professional references including name, title, company, email and daytime phone number. Do not use relatives.*

Employment Record - list present or most recent employer first

Complete for at least the last 7 years, or from the time you finished school. Be accurate and account for all of your time, noting reason for any time gaps. Use the additional information section near the end of this application as needed.
Employer
Phone Number
Address
Supervisor
Dates Employed
From
To
Position & Duties
Reason for Leaving
May we contact your employer?
- Yes
- No
If no, why?
Present & Former Employers
Employer
Phone Number
Address
Supervisor
Phone Number
Dates Employed
From
To
Position & Duties
Reason for Leaving
May we contact your employer?
- Yes
- No
If no, why?
Present & Former Employers
Employer
Phone Number
Address
Supervisor
Dates Employed
From
To
Position & Duties
Reason for Leaving
May we contact your employer?
- Yes
- No
If no, why?

Additional Information/Comments/Questions
Certification or Resume Upload
Optional
Max. file size: 300 MB.
If hired, you will be required to submit documents sufficient to establish employment authorization and identity in compliance with the Immigration Reform and Control Act of 1986. This institution does not discriminate in hiring or any other decision on the basis of race, color, sex, citizenship, national origin, ancestry, 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.
Consent*
These answers are true and complete to the best of my knowledge.
Eventide Lutheran Home for the Aged may investigate all statements contained in this application, and I understand that any false or misleading information provided may result in immediate discharge. I UNDERSTAND THIS APPLICATION IS NOT A CONTRACT OF EMPLOYMENT AND THAT IF HIRED, REGARDLESS OF ANY ORAL REPRESENTATIONS TO THE CONTRARY, THE EMPLOYMENT RELATIONSHIP BETWEEN ME AND EVENTIDE LUTHERAN HOME FOR THE AGED IS TERMINABLE-AT-WILL. ANY CHANGES IN THIS EMPLOYMENT RELATIONSHIP MUST BE MADE IN WRITING. I also understand that any offer of employment may be conditioned upon a health evaluation by a doctor selected by the applicant to determine whether I can perform my job duties. Additionally, I authorize Eventide Lutheran Home for the Aged to supply my employment record, in its sole discretion, in whole or in part, to any prospective employer, government agency, or other party, with an interest that Eventide Lutheran Home for the Aged deems appropriate.

Join Our Team

Step 1 of 5 - Personal Information

Employment Record - list present or most recent employer first

Present & Former Employers

Present & Former Employers