Employment Application - Heritage Senior Communities

Contact Information

Last *

First *

Middle

Address *

City *

State *

Zip *

Phone Number *

Email Address *

Professional Licensure or Certification Number: *

Are you 18 years of age or older? *

Yes

No

We are licensed to provide care 24 hours a day, 7 days a week, 52 weeks a year. Working any shift and overtime hours is expected for continued employment. Are you able to meet this requirement? *

Yes

No

I would like to apply to the following locations (select all that apply):

Independent Senior Living Communities: *

The Village at Appledorn, Holland, MI

The Village at Bay Ridge, Holland, MI

The Village at Park Terrace, Muskegon, MI

The Village at the Pines, Grand Haven, MI

Waverly Meadows, Holland, MI

The Village at Arborwood, Granger, IN

Not Applicable

I would like to apply for the following positions (select all that apply):

Criminal History Check

BY LAW, WE REQUIRE A NATIONAL CRIMINAL HISTORY CHECK, CONDUCTED BY THE FBI, INCLUDING FINGER-PRINTING.
You are not eligible for employment with Heritage Property Management if you have ever had a conviction under 42 USC 1320a-7 (including patient abuse, health care fraud, as well as any crimes related to the unlawful manufacture, distribution, prescription, or dispensing of a controlled substance). You are not eligible for employment with Heritage Property Management if you have been convicted of certain felonies unless 15 years have lapsed since the completion of all terms and conditions of the sentence. You are not eligible for employment with Heritage Property Management if you have been convicted of certain misdemeanors unless 10 years have lapsed since the completion of all terms and conditions of the sentence.

Have you ever been convicted of a crime? *

Yes

No

Are there any charges against you? *

Yes

No

Are you on a court-supervised probation or parole? *

Yes

No

Have you ever been determined by a federal, state, or local governmental agency to have committed abuse, neglect, exploitation, mishandling client funds or any other recipient rights violations? *

Yes

No

Employment History

Are you currently employed? *

Yes

No

If yes, may we contact your employer? *

Yes

No

Have you ever been employed with us before? *

Yes

No

Have you ever filed an application with us before? *

Yes

No

Please list any relatives employed at Heritage Property Management:

Upload Resume:

Maximum upload size: 52.43MB

If applicable, please attach your resume above.

Education History

List most recent school attended first.
Click the "Add School" button below to include more.

School *

Address/City *

Major/Degree *

Did you graduate? *

Yes

No

Add School Remove School

Personal References

Click the "Add References" button below to include more.

Name *

Email Address *

Relationship *

Years Known *

Phone

Add References Remove References

About You

How did you learn about us? How did you learn about us?

Describe your specialized training, skills, seminars or activities that would be an asset in this workplace: *

What qualities make you a good employee? *

What personal strengths do you have that will assist you in doing the job for which you have applied? *

Describe why you want to work for Heritage Property Management: *

Terms & Conditions

Please read the following terms & conditions, carefully, then check the boxes to agree. If not checked, your application will not be considered. *

1. I hereby give you my permission to contact my listed employers, references and educational institutions to verify the information I have given. I hereby release Heritage Property Management and the above referenced organizations, reference persons, and employers from all claims, liability and damages, which may result from furnishing information to you. I expressly and fully waive all written notice from all prior employers. I consent to releasing any information relating to my job performance, which is documented in my personnel file. I also understand that because of the nature of my job and licensing requirements, I hereby consent to the release of this application or portions thereof to representatives of any federal, state or local governmental, private, or law enforcement agencies for licensing and investigatory purposes and to verify information I have listed in this job application. I hereby release Heritage Property Management and federal, state or local governmental private or law enforcement agencies from all claims, liability, and damages, which may result from furnishing the information to you. I further specifically waive written notice and agree to the divulging of any disciplinary reports, letters of reprimand or other disciplinary action by all prior employers, and hereby release by prior employers from all claims, liability, and damages which may result from furnishing information to you.

2. Employment Agreement: In consideration of my employment, I agree to conform to the rules and regulations of Heritage Property Management. My employment and compensation can be terminated at-will with or without cause and with or without notice at any time at the sole discretion of Heritage Property Management or myself. I agree that no one other than the President of Heritage Property Management, Inc. has any authority to enter into any agreement or contract contrary to the foregoing and if he/she chooses to do so, such a contract must be in writing, signed by the President of Heritage Property Management, Inc. and myself.

NOTE: Do no contact us about your application. This application will be kept current for one year. You will need to complete another application to be reconsidered after one year.

NOTE: All offers of employment are made subject to the successful completion of a medical examination and an acceptable criminal history report, as defined by law. Fingerprinting, if needed, must be completed within 10 days of notice. Failure to complete fingerprinting, medical examination or TB testing may result in withdrawal of the employment offer.

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