Employment

Join Our Caring Team at NewEra Assisted Living

At NewEra Assisted Living, our team is the soul of our community. If you desire a purpose-driven career where you can enrich the lives of our senior residents, we welcome you to view our current career opportunities. We look forward to discovering your skills, your dedication, and your desire to become a member of the NewEra 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 affirm that the information provided in this employment application is accurate and complete to the best of my knowledge. I authorize NewEra Assisted Living to verify my employment, educational, financial, and other pertinent history as part of the hiring process. I hereby release NewEra Assisted Living and its agents from any liability for decisions made or information obtained during this verification. I understand that any misrepresentation or omission of facts on this application is grounds for termination, should I be employed. I further acknowledge that acceptance of an employment offer requires compliance with all company policies, rules, and regulations of NewEra Assisted Living. I recognize that this application, company policies, and any pre-employment communications do not constitute a contract for permanent employment. My employment with NewEra Assisted Living is "at-will," meaning that either party may terminate the relationship at any time, for any reason, with or without cause or prior notice.
Signature
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Date
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Join Our Caring Team at NewEra Assisted Living

PERSONAL

EMPLOYMENT

REFERENCES

REFERRAL

APPLICANT’S CERTIFICATION AND AGREEMENT