Career Opportunities at Kelly Gardens

Date(Required)

Phone(Required)

Email(Required)

Position you are applying for:(Required)

Which type of employment are you seeking?(Required)

If yes please explain:

License #

Education

School Name:

Degree:

School Name:

Degree:

Other Job-Related Education:

List any additional skills that you would like to mention.

Record of Employment

Employer 1 - Company Name:

Type of Business:

Phone

Start Date

End Date

Position:

Supervisor/Manager:

Reason for Leaving:

Phone

List the jobs you held, duties performed, skills used or learned, advancements or promotions.

Employer 2 - Company Name:

Type of Business:

Phone

Start Date

End Date

Position:

Supervisor/Manager:

Reason for Leaving:

Phone

List the jobs you held, duties performed, skills used or learned, advancements or promotions.

References:

List 2 non-relatives who are familiar with your qualifications and actual work history and ability.

Reference 1 - Name

Occupation/Relationship

Years known

Phone

Reference 2 - Name

Occupation/Relationship

Years known

Phone

This Employment Application is used to notify me that the nature and scope of an investigation, if one is conducted, could include such general identification information as residence verification, and, as applicable, information concerning my employment, education, general reputation, character, personal characteristics, and habits, and that such information may be developed through personal interviews with third parties such as family members, neighbors, friends, associates, former employers, educational institutions, financial sources, custodians of official records or other sources. Only job-related information developed from such a report will be considered in evaluating my employment application or continued employment. I hereby authorize these persons, companies, organizations or corporations to answer all questions or release any information regarding the items listed in this paragraph. I hereby release them from any liability and hold them harmless from any claim for releasing any truthful information within their knowledge and/or records.

I authorize the Company to release to any person, firm, entity or organization with which I may seek employment in the future, any truthful information concerning my work experience with the Company. I hereby release and hold the Company harmless from any claim for releasing any truthful information within its knowledge and/or records.

I understand that any job offer that may be extended to me will be contingent upon the successful completion of a drug and alcohol test.

I certify that the answers given by me to the foregoing questions and during any interviews are true and correct without consequential omissions, and understand that, if employed, omissions and/or false statements on this application or during any interviews may result in dismissal.

I understand and acknowledge that, if hired, my employment is for no definite period and either the Employer or I may terminate our relationship at will at any time, without notice or any reason, and that this employment application does not constitute an employment contract.

I have had an opportunity to have my questions about this statement's content and intent answered and understand its terms.

Signature of Applicant:(Required)

Date(Required)

Please submit a copy of your resume.

Max. file size: 128 MB.

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