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Please click on the link below to print the Amurcon Employee Application, after completing, please upload and submit along with your resume.

1B Application for Employment protected Valley View Senior Assisted Living Employment Criteria

Application for Employment

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin in, a e, disability, marital or veteran status, or an other legally protected status.

Step 1 of 7 - General Information

14%

Completed Application
Accepted file types: xls, jpg, pdf, doc, Max. file size: 10 MB.
If printed and filled out
Resume
Accepted file types: xls, jpg, pdf, doc, Max. file size: 10 MB.
Position Applied For
Date of Application
MM slash DD slash YYYY
How Did You Learn About Us?
- Advertisement
- Employment Agency
- Friend
- Relative
- Inquiry
- Other
Other:
Name
First Middle Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Last 4 Digits of Social Security Number
Phone
Email

Best time to contact you at home?

AM or PM
If you are under 18 years of age, can you provide required proof of your eligibility to work?
- Yes
- No
Have you ever filed an application with us before?
- Yes
- No
If Yes, give date
MM slash DD slash YYYY
Have you every been employed with us before?
- Yes
- No
If Yes, give date
MM slash DD slash YYYY
Do any of your friends or relatives, other than spouse, live on the property or work here?
- Yes
- No
If Yes, state name, relationship and location
Are you currently employed?
- Yes
- No
May we contact your present employer?
- Yes
- No
Within the last 7 years, have you been convicted of a crime other than a minor traffic offense?
- Yes
- No
If Yes, explain
Note: A conviction will not necessarily disqualify you for employment. Rather, factors such as age and date of conviction, seriousness and nature of crime, and rehabilitation will be considered.
Are you a convicted sex offender?
- Yes
- No
Are you legally eligible for employment in the United States?
- Yes
- No
Proof of citizenship or immigration status will be required upon employment.
Date available to work?
MM slash DD slash YYYY
What is your desired salary range?
Are you available to work?
- Full Time
- Part Time
- Temporary
Please indicate your hours available
Please indicate:
- Mornings
- Afternoon
- Evenings
Please indicate dates available
Are you currently on "lay-off' status and subject to recall?
- Yes
- No
Can you travel if a job required it?
- Yes
- No
Is a reasonable accommodation needed to complete this application?
- Yes
- No

Which of the following have you completed:
- High School
- Undergraduate College
- Graduate/Professional
- Other
High School
Name of School
School Address
Street Address Address Line 2 City State ZIP Code
Course of Study
Number of Years Completed
Diploma Degree
Undergraduate College
Name of School
School Address
Street Address Address Line 2 City State ZIP Code
Course of Study
Number of Years Completed
Diploma Degree
Graduate/Professional
Name of School
School Address
Street Address Address Line 2 City State ZIP Code
Course of Study
Number of Years Completed
Diploma Degree
Other
Name of School
School Address
Street Address Address Line 2 City State ZIP Code
Course of Study
Number of Years Completed
Diploma Degree

Work Experience
Start with your present or last job, include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
Employment #1
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor Name
Reason for Leaving
Dates Employed
Hourly Rate/Salary
Work Performed
May we contact?
- Yes
- No
Employment #2
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor Name
Reason for Leaving
Dates Employed
Hourly Rate/Salary
Work Performed
May we contact?
- Yes
- No
Employment #3
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor Name
Reason for Leaving
Dates Employed
Hourly Rate/Salary
Work Performed
May we contact?
- Yes
- No
Employment #4
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor Name
Reason for Leaving
Dates Employed
Hourly Rate/Salary
Work Performed
May we contact?
- Yes
- No

Describe any specialized training, apprenticeship, skills and extra-curricular activities.
Describe any job-related training received in the United States military.
List professional, trade, business or civic activities and offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status:
Additional Information
Other Qualifications Summarized special job-related skills and qualifications acquired from employment or other experience
SPECIALIZED SKILLS (Skills/Equipment Operated)
- Terminal
- PC/MAC
- Typewriter
- Spreadsheet
- Word Processing
- Shortand
State any additional information you feel may be helpful to us in considering your application.

Reference #1
Name
First Last
Phone
Occupation
Reference #2
Name
First Last
Phone
Occupation
Reference #3
Name
First Last
Phone
Occupation

Applicants Statement*
I agree to the below Applicants Statement
All statements contained in the application, resume or interview are truthful to the best of my knowledge

I authorize investigation of all statements in this application for employment or resume as may be necessary in arriving at an employment decision. We reserve the right to verify all references both professional and personal.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the employment relationship may not be changed by any written document or by conduct unless such charges is specifically acknowledged in writing by an authorized executive of this organization.

I understand Amurcon Realty Company and applicable properties requires pre-employment screening for testing Credit/Criminal Background/Sex Offender Registry/Drug

In the event of employment, I understand that false or misleading information given in my interview(s) may result in discharge.

I understand, also, that I am required to abide by all rules and regulations of the employer.
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