Employment Application Logo
  • Employment Application

  •  / /
  • Education & Training

  • Work History

    Start with most recent job.
  •  - -
  •  - -
  •  - -
  •  - -
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • APPLICATION ACKNOWLEDGEMENT

  • I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed one (1) year. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

     

    I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give LHM permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release LHM from any liability as a result of such contact.

     

    I also understand the LHM has a drug and alcohol policy that requires pre-employment testing as well as testing after employment; consent to and compliance with such policy is a condition of my employment; and continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.

     

    If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law. I understand, also, that I am required to abide by all rules and regulations of LHM.

  • Clear
  • 5810 N. Main Street
    PO Box 187
    Williston, Ohio 43468-0187
    (419) 836-7741
    Fax: (419) 972-4347

    Email: info@lutherhome.org 

    www.lutherhome.org

  • Applicant Invitation to Self-Identify

    Luther Home of Mercy is an Equal Opportunity Employer
  • Luther Home of Mercy is an equal opportunity employer. As required by law, we must record certain information to be made a part of our affirmative action program. Applicants for employment are invited to participate in the affirmative action program by reporting their status as a protected veteran or other minority. In extending this invitation, we advise you that: (a) workers (applicants) are under no obligation to respond but may do so in the future if they choose; (b) responses will remain confidential within the human resource department; and (c) responses will be used only for the necessary information to include in our affirmative action program. Refusal to provide this information will have no bearing on your application and will not subject you to any adverse treatment.

  •  - -
  • Employment Verification Form

  • We will send this to your current & previous employers:

    I have applied to Luther Home of Mercy for employment consideration. I authorize you to furnish any and all information concerning my previous employment, and hereby release all parties from any and all liability for any damage that may result furnishing the information

    Please complete the section below regarding my work history and return asap by one of these methods:

    • Email: hr@lutherhome.org
    • Fax:419-972-4347
  • Clear
  • Section Below is Only to Be Completed by Previous Employer

  •  - -
  •  - -
  •  - -
  •  
  • Should be Empty: