Application for Employment Application for Employment We are an equal opportunity employer. It is the policy of this organization not to discriminate on the basis of race, gender, religion, national origin, marital status, age, height, weight, color or handicap in the hiring, promotion, payment or treatment of employees. If you are a person with a disability, you may request, in advance, any needed and reasonable accommodations. We will not discriminate against a person with a covered disability under the Americans with Disabilities Act in regard to employment practices, terms, conditions, and privileges of employment. Contact Information Last * First * Middle Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Phone Number * Email Address * Professional Licensure or Certification: * CNA EMT LPN RN Not Applicable OtherOther 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): Assisted Living Communities: * Appledorn North, Holland, MI Appledorn South, Holland, MI Bay Ridge, Traverse City, MI Edgewood, Saginaw, MI Grand Pines, Grand Haven, MI Linden Square, Saline, MI Railside, Byron Center, MI Seminole Shores, Muskegon, MI Sheldon Meadows, Hudsonville, MI Not Applicable 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): Assisted Living Communities: * Administrator Office Manager Resource Manager Community Relations Receptionist Resident Services Coordinator – LPN Manager Resident Support Staff Shift Supervisor Medications Tech Life Enrichment Coordinator Life Enrichment Assistant Records Specialist Chef – Director of Culinary Services Cook Kitchen Utility Worker/Dishwasher Housekeeping & Laundry Supervisor Housekeeper & Laundry Assistant Maintenance Supervisor Maintenance Assistant Resident Porter Not Applicable Independent Living Communities: * Community Manager Administrative Assistant Social Activities Director Social Activities Assistant Cook Kitchen Utility Aide Dining Service Housekeeping Supervisor Housekeeper Maintenance Supervisor Maintenance Assistant Not Applicable 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: Drop a file here or click to upload Choose File 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 * Add References Remove References About You How did you learn about us? Advertisement Friend Relative Walk-in Internet Other 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. Submit If you are human, leave this field blank.