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E-mail: info@easternstarhomes.org
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About Us
Leadership
Board of Trustees
Careers
Media Gallery
Testimonials
Community News
Activity Calendar
Where to Begin
Learn More About Moving to SLC
What is a CCRC and RCFE
FAQs
Audited Financials
Care Services
Amenities
Floor Plans
Our History
Donate – Volunteer
Application Form to Submit
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Application Form to Submit
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SLC Employment Application Form
Date
Your Last Name
Your First Name
Your Middle Name
Present Address
No. & Street, city, state and zip code
Permanent Address
if different from above
Business Phone
Home Phone
Employment Desired
position applying for
Personal Information
how did you hear about our company and this job opening?
Have you ever applied or worked for
Senior Living Community
Yes
No
If your answer is yes
when and what position you applied for?
Why are you applying for at: Senior Living Community?
Next Step
Name of Employer
Type of Business
Phone Number
Your Supervisor's Name
Address and Street
Dates of Employment
Reason(s) for Leaving
Your Position and Duties
May we contact this Employer for a Reference?
Yes
No
Note:
Please attach additional page(s) if necessary.
References
List below three persons not related to you who have knowledge of your work performance within the last three years.
First Name
Last Name
Phone Number
Reference Address
First Name
Last Name
Phone Number
Reference Address
First Name
Last Name
Phone Number
Reference Address
Previous Step
Next Step
Education, Training, and Experience-countinues
Vocational/Business Name and Address
Health Care Training Name and Address
No. of Years Completed
No. of Years Completed
Did you Graduate?
Yes
No
Did you Graduate?
Yes
No
Degree or Diploma
Degree or Diploma
Employment History
List below all present and past employment starting with your most recent employer (last 5 years is sufficient). You must complete this section even if attaching a resume.
Name of Employer
Type of Business
Phone Number
Your Supervisor's Name
Full Address
Date of Employments
From
To
Currently Employed?
Yes
No
Your Current Employer
Your Position and Duties
Reason(s) for Leaving
May we contact this employer for reference?
Yes
No
Previous Step
Next Step
If hired, would you have a reliable means of transportation to and from work?
Yes
No
Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age)
Yes
No
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?
Yes
No
If the above answer is No, please describe the function(s) that cannot be performed
Multi-File Upload
Upload your resume and/or any other supportive documents. We accept only the following formats: doc, docx, pdf, jpg, and jpeg
doc docx pdf jpg jpeg
(Note: We comply with the ADA and consider reasonable accommodation measures that maybe necessary for eligible applicants/employees to perform essential functions. Hire maybe subject to passing a medical examination, and to skill and agility tests.)
We may refuse to hire relatives of present employees if doing so could result in actual or potential problems in supervision, security, safety, or morale, or if doing so could create conflicts of interests.
Previous Step
Submit your Application
