Williston Place Senior Living Careers- Join Our Team

Personal Information

Date of Application:*

Phone Number*

Preferred gender pronoun

Preferred first name

Employment Desired

What position are you applying for?*

Potential Start Date*

Salary Desired*

If so, when?

General

Areas of special study, unique skills, or interests*

Have you worked with seniors before and in what capacity?*

Who or How?*

EDUCATION

High School

School Name and Location

Major Course(s) of Study

Technical School

School Name and Location

Major Course(s) of Study

College

School Name and Location

Years Completed

Major Course(s) of Study

Former Employers

List below your last four employers, starting with the last one first. (*THIS SECTION MUST BE COMPLETED EVEN IF SUBMITTING A RESUME*)

1. Employer

Reason for Leaving

2. Employer

Reason for Leaving

3. Employer

Reason for Leaving

4. Employer

Reason for Leaving

REFERENCES

List three persons, not related to you, whom you have known for at least one year.

PLEASE READ BEFORE SIGNING

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application are grounds for dismissal. I authorize investigation of all statements contained herein and authorize the references listed above to give you any information concerning my previous employment and any pertinent information, personal or otherwise. I release all parties from all liability from any damage that may result from furnishing same to you. I understand and agree that, if hired, my employment is at will. This means my employment is for no definite period and it is subject to termination by myself or the company, with or without cause, with or without notice, and at any time.

Signature of Applicant*

Date*

Phone

This field is for validation purposes and should be left unchanged.

Careers

Please Complete the Form Below

Personal Information

Employment Desired

General

EDUCATION

Former Employers

REFERENCES

PLEASE READ BEFORE SIGNING

Williston Place Careers

Join our team.

For more information, please call (802) 871-5409, or complete the employment form.

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