Twin Oaks Senior Living Employment Application

A generous heart, a warm spirit and a genuine compassion for others.

Those qualities describe the special people who work and care for each and every one of our residents at Twin Oaks Senior Living.

Apply today and become part of our Twin Oaks extended family and bring happiness into the lives of our residents each and everyday!

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

I am interested in applying for the following position:*

Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)?*

YesNo

How did you hear about this opportunity? Did someone refer you?*

YesNo

If yes, for what, when and where?

I prefer the following shift:*

WeekendsHolidaysRotating ShiftsNone of the above

Full TimePart Time

YesNo

If yes, please explain

I can begin working on the following day:*

Date

Please list any special training, schooling or skills that would benefit you in the position for which you are applying:

YesNo

If yes, what dates?

YesNo

If no, Why?

Employer | #1 *

Dates of Employment - Start Date

Dates of Employment - End Date

Supervisors Name *

First NameLast Name

Supervisors Phone Number *

Please enter a valid phone number.

Ending Salary Range *

Position and Duties*

Reason for leaving *

Employer | #2

Date of Employment - Start Date

Dates of Employment - End Date

Supervisors Name

First NameLast Name

Supervisors Phone Number

Please enter a valid phone number.

Ending Salary Range

Position and Duties

Reason for leaving

Employer | #3

Dates of Employment - End Date

Dates of Employment - Start Date

Supervisors Name

First NameLast Name

Supervisors Phone Number

Please enter a valid phone number.

Ending Salary Range

Position and Duties

Reason for leaving

Type of License/Certification

Organization/State Issued

Date Issued

Type of License/Certification

Date Issued

Organization/State Issued

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Reference | #1*

First NameLast Name

Relationship (ex: supervisor)*

Phone Number*

Please enter a valid phone number.

Email

example@example.com

Reference | #2*

First NameLast Name

Relationship (ex: supervisor)*

Phone Number*

Please enter a valid phone number.

Email

example@example.com

I have read and understand the terms of the applicant statement below.
The information provided above is true and accurate.
I authorize Twin Oaks Senior Living to contact and obtain information from all references (personal and professional), employers, and educational institutions and to verify the accuracy of all information provided by me in this application, resumé, or job interview.
Hired employees are required to:
- Provide legal identity
- Submit I9 form
- Complete criminal background check, drug test, TB test, physical examination and online training
Twin Oaks Senior Living does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis of his or her sex (including pregnancy, sexual orientation and gender identity), race, color, religion, national origin, citizenship, age, disability, genetic information, or any other protected status under applicable federal, state, or local law.

Signature*

JOIN OUR TEAM!

PERSONAL INFORMATION

EMPLOYMENT DESIRED

AVAILABILITY

EMPLOYMENT HISTORY

RESUME

PROFESSIONAL LICENSES &/OR CERTIFICATIONS

EMERGENCY CONTACT

REFERENCES

SIGN AND SUBMIT