Employment at Rolling Green Village | Continuing Care Employment in Greenville

Personal Information

Title First Name * Middle Initial * Last Name * Email * Phone * Are you at least 18 years old? Yes No *

Current Address

Address * Address 2 City * State * ZIP Code * How Long have you lived at this address? *

Previous Address

Address Address 2 City State ZIP Code How Long have you lived at this address?

General

Education Record

High School

Name State Did you Graduate? Yes
No

GED

Where State

College

Name State How Long Course of study Degree

Other

Name State How Long Course of study Degree

Certifications of Licensures (Please be specific)

List any other experiences, skills, hobbies or qualifications that may benefit our Occupation

Military Service Record

Were you in the US Armed Forces? Yes No * If you have served in the military, list Branch: Dates of Duty From: Dates of Duty To: List any duties in the Service that are relevant for the position being applied for: Rank at Discharge:

Employment Record

Employer 1

Company / Location / Supervisor Dates of Employment Phone Your Job Salary Reason for Leaving

Employer 2

Company / Location / Supervisor Dates of Employment Phone Your Job Salary Reason for Leaving

Employer 3

Company / Location / Supervisor Dates of Employment Phone Your Job Salary Reason for Leaving

Employer 4

Company / Location / Supervisor Dates of Employment Phone Your Job Salary Reason for Leaving

May we contact your former employers? Yes No If not, which ones?

Professional References
No relatives please

References 1

Name / Address / Phone #

Occupation

References 2

Name / Address / Phone #

Occupation

References 3

Name / Address / Phone #

Occupation

References 4

Name / Address / Phone #

Occupation

Please read below

I understand that nothing contained in this application or in the interview process is intended to create an employment contract between me and Rolling Green Village (RGV). If I am employed by RGV, I will be an employee-at-will. This means that both RGV and I have the right to terminate my employment at any time, for any reason, with or without cause. I also acknowledge that upon receiving an offer of employment, I may be required to successfully complete a pre-employment physical, PPD skin test, and/or drug test.

The facts set forth in my application for employment are true and complete. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation of my personal history and financial and credit record through any investigative or credit agencies or bureaus of your choice. In making this application for employment I authorize you to make an investigative consumer report whereby information is obtained through personal interviews with my neighbors, friends or others with whom I am acquainted. This inquiry, if made, may include information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of any such investigative report that is made.

VOLUNTARY AFFIRMATIVE ACTION INFORMATION

SPECIAL NOTICE TO VIETNAM ERA VETERANS, DISABLED VETERANS AND INDIVIDUALS WITH PHYSICAL OR MENTAL DISABILITIES:

Our voluntary Affirmative Action program is subject to the Vietnam Era Veterans Readjustment Act of 1974 and Rehabilitation Act of 1973. Therefore, we are required to take affirmative action to employ and advance in employment qualified veterans and veterans of the Vietnam Era, and qualified disabled individuals. You are invited to volunteer this information, if you qualify, to assist in proper placement and determining reasonable accommodation. This information will be considered confidential, and refusal to provide this information will not adversely affect your consideration for employment.

IF YOU SO WISH TO BE IDENTIFIED, PLEASE CHECK IF ANY OF THE FOLLOWING ARE APPLICABLE Vietnam Era Veteran Disabled Veteran Individual with a disability

An Equal Opportunity Employer

Rolling Green Village is committed to equal opportunity for all. This policy governs our business activities in a manner which provides equal opportunity and treatment for all employees without regard to race, sex, color, religion, national origin, age, disability or veteran status.

Rolling Green Village employment

meaningful careers.

Jobs line:

Address:

Apply Online