Job Application Form

Affinity Residential Care does not discriminate in hiring or employment on the basis of race, color, religion, national origin, age, sex, disability, sexual orientation, Vietnam era military service, or any other basis on which discrimination is prohibited by federal, state, or local laws.  No question on this application is intended to secure information to be used for such discrimination.  

Voluntary Self-Identification Form

Affinity Care MN is committed to equal employment opportunity and diversity in the workplace. To comply with federal and state reporting requirements and to measure our diversity efforts, we invite you to voluntarily self-identify your demographic information.

Providing this information is completely voluntary. Your responses will not affect your application or hiring process in any way. This data will be kept confidential and used only for aggregate reporting in compliance with the Equal Employment Opportunity Commission (EEOC), Office of Federal Contract Compliance Programs (OFCCP), and other regulatory agencies.

Acceptance of this application affords no assurance of eventual employment.  If employed, you will be required to verify your ability to legally accept employment in the United States.  For certain jobs, background investigations, to include contacting former employers, may be required.  This application does not constitute a contract of employment.  Employment and compensation can be terminated with or without notice, and with or without cause, at any time.

I have read the foregoing instructions and questions and to the best of my knowledge, my answers are true and correct.  I have not knowingly misrepresented or withheld any fact or circumstance that would, if disclosed, affect my application unfavorably.  I understand that misrepresentation of any of the above may be cause for termination.

By signing below, I acknowledge that my responses are voluntary and will be kept confidential in compliance with applicable laws.