Information Application
Thurston Woods Village is an Equal Opportunity Employer. All applicants are considered without regard to race, color, religion, sex, national origin, age, disability, or any other status protected by applicable law.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
File Upload
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Add your Resume, Cover Letter, and any other Certifications or Documents applicable to the position.
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Position and Job Preferences
Position/Area Applying For
*
CNA
Nurse-RN
Nurse-LPN
PRN
Caregiver
Administration
Food Service
Housekeeping
Transportation
Therapy
Activities
Maintenance
Other: Fill in Below
Exact Job Title Applying For
Location Applying For
*
Please Select
Sturgis
Coldwater
Both
Desired Shift
*
Day 1st Shift
Evening 2nd Shift
Night 3rd Shift
Rotating
Weekend
Type of Employment
*
Please Select
Full Time
Part Time
Seasonal
Eligibility and Education
Are you 18 years of age or older?
*
Yes
No
Education History
*
Experience, Certifications, and Work History
Experience, skills, and qualifications
*
Certifications or Degrees
Employment
*
Criminal History
Have you ever been convicted of a felony, fraud or violent crime?
*
Yes
No
If yes, please explain the felony, fraud or violent crime conviction.
References and Signature
Reference 1 Name
*
First Name
Last Name
Relationship
*
Please Select
Supervisor
Coworker
Teacher
Mentor
Client
Friend
Other
Phone #
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Years Known
*
Reference 2 Name
*
First Name
Last Name
Relationship
*
Please Select
Supervisor
Coworker
Teacher
Mentor
Client
Friend
Other
Phone #
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Years Known
*
Applicant Signature
*
Date
*
-
Month
-
Day
Year
Date
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