LB Homes Employment Application

LB Homes Job Application
Desired Position
Are you licensed or Certified for this desired position?*

YesNoNot applicable for this position
Please add your license or certification you currently hold or are in the process of completing.*
Please add your License or Certification you currently hold or are in the process of completing.
Are you 18 years of age or older?*

YesNo
Your Name*

First NameLast Name
Your Phone Number*

Area CodePhone Number
Your Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What type of employment are you interested in? (Check all that apply)*

Full TimePart TimeCasual
Desired Shifts (Check all that apply)*

DayEveningNight
Some careers require weekend shifts, are you available on the weekend?*

YesNo
Your Expected Rate of Pay?
Desired Number of Hours Per Week?
Please click the days you are available to work.
Please list any timeframes you are unable to work. If none, put (N/A).
Examples: Second and fourth weekend of each month, every Tuesday and Thursday.
Questions
Were you referred from a current LB Homes employee?*

YesNo
Who referred you to LB Homes?
How did you learn about this job opening?*

Employee ReferralLB Homes WebsiteFacebookSchool/CollegeSocial MediaJob ServiceWalk InOnline Search SiteOther
Have you ever submitted an application at LB Homes before?*

YesNo
Have you ever worked at LB Homes before?*

YesNo
How many years of experience do you have applicable to this desired position?*

01-3 years4-8 years9-15 years15-19 years20 (plus) years
Please tell us why you've decided to work in your chosen career.
Have you ever been in a leadership or supervisory role?

YesNo
Please tell us about your leadership or supervisory experience.
What makes someone a good leader?
Give an example of how you've earned the trust and confidence of someone.
What was the most difficult challenge you've encountered in your career and how did you overcome it?
Please tell us how you would understand or comfort a resident/patient that is unable to speak.
How have you displayed your dedication to your career.
What makes YOU unique from other applicants?
What is an acceptable reason to miss work and why?
What makes for great customer service when taking care of a resident/patient?
Experience
Work or Volunteer Experience*

Job or Volunteer Title

Name of Company or Organization

Start DateEnd Date

Supervisors Name & Phone Number
Please describe your role and responsibilities.*
Work or Volunteer Experience*

Job or Volunteer Title

Name of Company or Organization

Start DateEnd Date

Supervisors Name & Phone Number
Please describe your role and responsibilities.*
Work or Volunteer Experience

Job or Volunteer Title

Name of Company or Organization

Start DateEnd Date

Supervisors Name & Phone Number
Please describe your role and responsibilities.
Education & Skills
Education*

School or College Name

Level Completed

Start DateEnd Date

Desired Start Date (Month/Day/Year)
Education

School or College Name

Level Completed

Start DateEnd Date

Desired Start Date (Month/Day/Year)
Education

School or College Name

Level Completed

Start DateEnd Date

Desired Start Date (Month/Day/Year)
Please describe any relevant skills applicable to the desired position you are applying for. *
References

References are non-relatives who you have had a professional relationship with (ie. teacher, former employer, clergy, mentor, etc.).
Reference*

Full NamePhone numberEmail Address
Reference*

Full NamePhone numberEmail Address
Reference

Full NamePhone numberEmail Address
EEOC - Voluntary Self-Identification Survey

This employer is required to notify all applicants of their rights pursuant to federal labor laws. For further information, please review this notice from the Department of Labor: EEO is the Law poster. You may have additional rights pursuant to recent amendments to federal labor laws. Please review these protections from the EEO is the Law Supplement.
Gender*

MaleFemaleNon-BinaryI decline to answer
Ethnic Origin

African American or BlackAmerican Indian or Alaskan Native AlaskanHispanic or LatinoNative HawaiianTwo or More RacesWhiteI Decline to Answer
Veteran Status

This employer is required to take affirmative action to employ and advance in employment protected veterans pursuant to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002. Government contractors are required to take affirmative action to employ and advance veterans in employment: 1. Disabled veterans; 2. Recently separated veterans; 3. Active duty wartime or campaign badge veterans; and 4. Armed Forces service medal veterans. We are also required to submit an annual report to the U.S. Department of Labor identifying the number of our employees belonging to each specified -protected veteran- category.
Are you a protected veteran?*

YesNoI decline to answer
Self-Identification of Disability

Q: How do I know if I have a disability? A: You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to: Autism, Bipolar disorder, Blindness, Cancer, Cerebral Palsy, Deafness, Diabetes, Epilepsy, HIV/AIDS, Impairments requiring the use of a wheelchair, Intellectual disability (previously called mental retardation), Major depression, Missing limbs or partially missing limbs, Multiple sclerosis (MS), Muscular dystrophy, Obsessive compulsive disorder, Post-traumatic stress disorder (PTSD), and Schizophrenia.
Voluntary Self-Identification of Disability*

Yes, I have a disability or previously had a disabilityNo, I do not have a disabilityI Decline to Answer
Reasonable Accomodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities.
Please explain your reasonable accommodation request.
Please upload your resume

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LB Homes Job Application

Questions

Experience

Education & Skills

References

EEOC - Voluntary Self-Identification Survey

Veteran Status

Self-Identification of Disability

Reasonable Accomodation Notice