Application for Employment

Current Job Openings

Housekeeper - Join the Southwind Team! Southwind is looking for a full-time Housekeeper. Responsibilities include cleaning resident rooms and common areas. Southwind offers the opportunity to be a part of an innovative team providing a new care approach to elders. Southwind at Spearville is a newly built Skilled Nursing and Assisted Living home. Full-time position available with a generous benefit package.

Application for Employment

Southwind at Spearville is an equal opportunity employer. All applicants will be considered regardless of race, color, religion, gender, national origin, age, marital or veteran status, medical condition, disability, or any other legally-protected status. Equal access to the hiring process, services, and employment is available to all persons. Applicants requiring accommodations to the application and/or interview process should contact a representative of the Human Resource Department.

Each question should be answered completely and accurately. No action will be taken on this application until all questions have been answered and the application has been signed and dated. Verification of eligibility to work in the U.S. will be required if an employment offer is made.

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Current Driver's Licence (if applicable) *

Yes No

Address *

Line 1

Line 2

City

State

Zip Code

Country

Position(s) applied for: *

Have you applied here before? *

If yes, give date: *

Are you employed now? *

Yes No

On what date are you available for work? *

Are you available to work: *

Full-time Part-time Shift work Temporary

What languages do you speak fluently (if applicable)? List: *

Are you 18 or older? *

Yes No

Have you been convicted of a felony or misdemeanor other than moving traffic violations? *

Yes No

If yes, please complete the following:

Conviction: *

Location: *

Date: *

Result or outcome: *

Education

High School

School Name *

Diploma/Degree *

Certificate Received *

Describe Course of Study *

Trade Schools

School Name *

Diploma/Degree *

Certificate Received *

Describe Course of Study *

College/University

School Name *

Diploma/Degree *

Certificate Received *

Describe Course of Study *

Employment Experience

List your past four (4) employers including military and voluntary service assignments. Start with your present or last job.

Employer: *

Phone Number *

Job Title: *

Supervisor *

Date Employed: *

Reasons for leaving: *

Salary: *

Work Performed: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

May we contact? *

Yes No

Employer: *

Job Title: *

Date Employed: *

Reasons for leaving: *

Phone Number *

Supervisor: *

Salary: *

Work Performed: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

May we contact? *

Yes No

Employer: *

Job Title: *

Date Employed: *

Reasons for Leaving: *

Phone Number *

Supervisor: *

Salary: *

Work performed: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

May we contact? *

Yes No

Employer: *

Job Title: *

Date Employed: *

Reasons for Leaving: *

Phone Number *

Supervisor: *

Salary: *

Work Performed: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

May we contact? *

Yes No

Please summarize your job-related skills or specialized training: *

List job-related special accomplishments, projects, awards: *

References

Give the name and telephone number of three (3) business/work references who are not related to you. List at least one of your previous supervisors.

Name *

Occupation *

Company *

COmpany *

Company *

Phone Number *

List any additional information you would like us to consider. *

Acknowledgement

I understand that Southwind at Spearville is making no employment offer at this time. I certify that the information in this application is correct to the best of my knowledge. I understand that any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews is grounds for disqualification from further consideration for employment or for termination if employed.

I authorize Southwind at Spearville to contact any company, institution, or individual it deems appropriate to investigate my employment history, character, qualifications, credit history, driving record, and other relevant information, if job-related. I give my full consent for all contacted persons including former employers to provide the information concerning this application, and I waive my right to bring any cause of action against these individuals for any and all liability for damages arising from furnishing the requested information to Southwind. I acknowledge that a facsimile of this form is as valid as the original.

A company-paid drug test and/or physical examination may be required. I understand that any offer of employment may be withdrawn if I rest positive for drugs and/or if a condition is discovered for which no reasonable accommodation can be made.

I understand that this application is current for only 60 days. At the conclusion of this time, if I have not heard from Southwind and still wish to be considered for employment, it will be necessary to fill out a new application.

I understand that if I am hired, my employment at Southwind at Spearville is "at-will" and may be terminated by myself or by Southwind at any time, with or without cause or notice. I understand that no representative of Southwind has the authority to make any assurance to the contrary.

Name *

First

Last

Date *

Submit