Employment

Join Our Caring Team at Caregivers Inn

At Caregivers Inn, we believe our dedicated team is the very heart of our home. If you are pursuing a rewarding career where you can create a meaningful and positive impact in the lives of seniors, we invite you to discover our current available positions. We are excited to learn about your unique skills, your dedication, and your interest in joining the Caregivers Inn 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 hereby certify that the information I have provided in this employment application is true and complete to the best of my knowledge. I authorize Caregivers Inn to verify my personal employment, educational, financial, or other relevant history as part of the process for making an employment decision. I release Caregivers Inn and its representatives from any liability in connection with obtaining and using such information. I understand that any falsified information or significant omissions on this application are grounds for dismissal, if I am employed. I further understand that if I am offered and accept a position, I am expected to abide by all policies, rules, and regulations of Caregivers Inn. I acknowledge that this application, the company policies, and any pre-employment discussions do not constitute a contract for indefinite employment. My employment with Caregivers Inn is "at-will," meaning that either I or Caregivers Inn may terminate the employment relationship at any time, for any reason, with or without cause or notice.
Signature
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Join Our Caring Team at Caregivers Inn

PERSONAL

EMPLOYMENT

REFERENCES

REFERRAL

APPLICANT’S CERTIFICATION AND AGREEMENT