Countryside Assisted Living is an equal opportunity employer and selects the best matched individual for the job based on job-related qualifications, regardless of race, national origin, age, color, sex, handicap, or other protected groups under State, Federal, or local equal opportunity laws.
Any misrepresentation or deliberate omission of facts in my application may be justification for refusal of employment; or if employed, termination from my employment.
It is my understanding that Countryside Assisted Living will make a thorough investigation of my entire work history and may verify all information and papers given in my application for employment. I authorize such investigation, believing that all statements I have made are true to the best of my knowledge. I realize that falsification of information given may prevent my being hired; or if hired, may subject me to immediate dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information that may have, and release all parties from all liabilities for any damage that may result from furnishing same to you.
I agree that Countryside Assisted Living may terminate my employment, at any time without liability for wages except those earned to the date of termination. I authorize the release of medical information when necessary to determine my ability to perform the job for which I am being considered or for which Countryside Assisted Living employed me.
Although management makes every effort to accommodate individual preferences, staffing needs may at times, make the following conditions mandatory; overtime, shift work, a rotating schedule, or a work schedule other than posted. I understand and accept this as a condition of my continuing employment.
I do agree that if employed to serve to the best of my ability and abide by the policies that have been established by the Administration of Countryside Assisted Living.
I understand that this is an application for employment and that no employment contract is being offered. I further understand that if I am employed, such employment is for no definite period of time and that wages and benefits are subject to change with prior notice.
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal.
For this Type of Employment, State Law requires a Criminal Background Check as a condition of employment.
I have read the above and understand what it says.