Application For Employment First Name * Last Name * Middle Initial Street Address * City * State * Zip * Phone * Mobile/Other Email Have you ever worked under another name? Please List Preferred Employment Location Are you at least 18 years of age? Have you ever lived outside of the state of Ohio (including school attendance)? Are you legally eligible for employment in this country? Have you ever submitted an application/resume at Sunset Communities before? If yes, when? Have you ever been employed by Sunset Communities before? If yes, give date range: Position applying for: Number of months worked as test ready STNA since completion of class: Time Shift Date you can start: Nursing Assistant Applicants: Are you test ready? State Approved? Do you have any relatives currently working at Sunset Communities? Other than minor traffic citations, have you ever been convicted of a felony, misdemeanor or a DUI? If yes, please explain: Who referred you to Sunset Communities? * Please specify: Resume Instructions Optional: Attach your resume in addition to filling out the applicable fields below. Resume Disclaimer I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from the employer's service, whenever it is discovered.
I give the employer the right to contact and obtain information from all references, employers, education institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information.
The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law.
This application is current for 1 year. At the conclusion of this time, if you have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. All applications are kept on file for 2 years.
If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period of definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer.
I understand it is this company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by ADA.
I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.
When you accept a conditional offer of employment with Sunset Communities you will be required to be fingerprinted and sign a form attesting to the following:
1. That you have not been convicted of or plead guilty to any of the crimes that would disqualify you from working with older adults under S.B. 160.
2. That you understand and agreed that if you are found to have a record of any of those crimes, you will not be hired for work with older adults or, if you have already been hired, your employment will be terminated.
3. That you have been informed that you must provide a set of fingerprint impressions and that a criminal record check must be conducted if you come under final consideration for employment.
4. That you are responsible for the cost of the fingerprint reports. The fee will be deducted from your first paycheck and once you have satisfactorily completed your instructional period, this fee will be reimbursed to you. The cost of an Ohio report is $45.00. If you have not been a resident of Ohio for the past 5 years, you will also be required to have an FBI report which will cost an additional $40.00.
Sunset Communities is required by state law to have this information on file. It is not because we don't trust you or don't want you to come you to come work with us. The state law says all people who work with the elderly have to be checked to see if they have a criminal record. This is true even if you don't have a record. The law was passed to protect elderly people (and people who work with them) from convicted criminals. The law also says you have to get fingerprinted. This is how the state checks to see whether you have a record.
We apologize for the inconvenience and appreciate your interest in working with us.
By checking this box, you attest that you have read and understand the content therein. *