Apply Online

Thank you for applying at May Creek Senior Living Campus.
Please answer all questions.

Name:
  Last First Middle

Address:
  Number & Street City State Zip

E-mail:

Phone no: Cell no:

How did you hear about the job?

I am interested in employment at: Assisted Living Lodge
  Memory Care Cottages

Position(s) desired:

How many hours per week are you wanting to work?

Have you applied with this company before? YES
  NO

Education: Name & Address of School Degree/Diploma Graduation Date
High School
College
Trade, Business, Other

Special Skills & Qualifications: (List job-related licenses, skills, training, honors)

Employment History: (Start with present or last position)

Employer Address:
Supervisor: Phone:
Position Title: Start Date: End Date:
Duties:
Salary: (First) (Last) Reason for Leaving:

Employer Address:
Supervisor: Phone:
Position Title: Start Date: End Date:
Duties:
Salary: (First) (Last) Reason for Leaving:

Employer Address:
Supervisor: Phone:
Position Title: Start Date: End Date:
Duties:
Salary: (First) (Last) Reason for Leaving:

We may call the above employers for references

References: (Personal, not family)
Name & Title:
Address & Phone #:
Occupation
   
Name & Title:
Address & Phone #:
Occupation

Have you been convicted of or pleaded no contest to a felony within the last five years?

Yes No
If yes, please explain

I certify that information contained in this application is true and complete. I understand that false, misleading, or incomplete information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any and all information listed above, and by signing this application, I authorize May Creek Senior Living Campus to complete a background investigation and reference checks.

Notice that drug and alcohol testing will be done on all positions offered at MCSLC prior to new employee hire.

All job offers are contingent upon reference checks, background study and drug and alcohol testing.

Name Date