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Employment Application Form
Employment Application Form
Employment Application Form
  • 1

    NOTICE TO APPLICANTS

    BROOKSTONE RETIREMENT CENTER, LLC

    DRUG TESTING POLICY

    Due to health and safety risks of drug use and abuse, applicants tentatively selected for employment by Brookstone Retirement Center, LLC will be asked to undergo an examination and screening for controlled substances in accordance with NC General Statue 95-230 through 95-234. Any applicant not willing to comply with this requirement may simply excuse themselves prior to completing the following application form. 

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    Reference 2
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    Reference 3

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    Employer 1

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    Please Select
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    • United States
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    Employer 2

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    • United States
    • Afghanistan
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    • Angola
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    • Argentina
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    • Jersey
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    • Myanmar
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    • Nepal
    • Netherlands
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    • New Caledonia
    • New Zealand
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    • United States
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    • American Samoa
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    • Angola
    • Anguilla
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    • Argentina
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    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
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    • Burundi
    • Cambodia
    • Cameroon
    • Canada
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    • Central African Republic
    • Chad
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    • Christmas Island
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    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curacao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
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    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
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    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
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    This institution does not discriminate in hiring or any other decisions on the basis of race, color, sex, citizenship, national origin, ancestry, Vietnam era veteran status, or on the basis of age, physical or mental disability unrelated to the ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination.

    I voluntarily give this institution the right to make a thorough investigation of my past employment and activities, agree to cooperate in investigation, and release from all liability or responsibility all persons, companies, or corporations supplying such information. I consent to take the physical examination, and such future examinations as may be required by this institution at such times and places as the institution shall designate. I understand that my employment is at will and that either party is free to terminate the employment relationship at any time without cause during the first 90 days I also understand that my employment may be terminated for any misstatement or omission of fact appearing on this application form. 

    If employed, I will be required to complete an employment verification form (I-9), and within three days show satisfactory evidence of identity and eligibility for employment. 

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