We are an Equal Opportunity Employer.
Provide information for your past and current employers starting with the most recent.
Provide information on any formal education pertinent to the position you are applying for with the most recent.
List three business, work, school or personal references which are not related to you and are not previous supervisors, who have the capability to confirm your ability to perform the job functions that may be associated with the position you are applying for.
All employment offers with The Village at Luther Square dba LIFE Northwestern Pennsylvania are contingent upon the candidate passing a Physical Examination, Drug Screening Test, Criminal Background Examination and Mantoux (2-step TB Test).
In connection with my application for employment, including contracts for services, with The Village at Luther Square dba LIFE Northwestern Pennsylvania, I understand that investigative background inquiries are to be made on myself including criminal, driving and other reports. Further, I understand that The Village at Luther Square dba LIFE Northwestern Pennsylvania will be requesting information from various Federal, State and other agencies which maintain records concerning my past activities relating to my driving, criminal, civil, workers' compensation and other experiences as well as claims involving me in the files of insurance companies.
I authorize, without reservation, any party or agency contacted by The Villate at Luther Square dba LIFE Northwestern Pennsylvania to furnish the above mentioned information.