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We appreciate your interest in employment opportunities at Ascension Living. It is our policy and practice to decide all matters relating to employment on qualifications and merit; therefore, a clear understanding of your background and work history will assist us in considering you for a position. Please answer all questions as best as you can. Ascension Senior Living is an Equal Opportunity Employer and does not discriminate based on race, religion, color, sex, age, national origin, sexual orientation, ethnicity, genetics, disability, marital status, veteran status or any other basis prohibited by federal, state, or local law in employment or the provision of service.
Are you 18 years of age or older? *
Have you ever been employed at an Ascension Living Community/Our Lady of Peace before? *
Are you currently employed? *
Are you available to work
Shifts you can work
Days available to work
Will you require sponsorship for employment status (i.c. H1B visa) now or in the future? *
Have you ever been debarred or excluded, or have a controlling interest in an entitiy that has been excluded or suspended, from participation in a Medicare, Medicaid, or any other federal or state funded health care program? *
Have you EVER 1. Been Convicted; 2. Pled Guilty; 3. Pled Nolo Contedre or No Contest; 4. Had Adjudication Withheld; 5. Been Found Guilty of a Lesser Offense than Originally Charged as a Part of a Plea Bargain Arrangement; 6. Been Placed on Probation; *

EDUCATIONAL HISTORY

High School

Last Years Completed
Did you Graduate?

College

Last Year Completed
Did you graduate?

Other (postgraduate)

Last Year Completed
Did you graduate?

MILITARY EXPERIENCE

CLINICAL/PROFESSIONAL LICENSES, REGISTRATIONS, AND/OR CERTIFICATIONS

Are you a licensed/registered professional?

REFERENCES

Provide a minimum of three references.Do not list relatives as a reference.

Reference 1

Type

Reference 2

Type

Reference 3

Type

EMPLOYMENT

Start with your most recent employment and include a complete employment history.COMPLETE ALL SECTIONS, EVEN IF ATTACHING A RESUME

Job 1

Type

Job 2

Type

Job 3

Type

Job 4

Type
IF THIS IS NOT A COMPLETE LIST OR TO EXPLAIN GAPS IN EMPLOYMENT HISTORY, PLEASE ATTACH A SEPERATE LIST. WAGES MAY BE DEPENDENT ON YEARS OF EXPERIENCE.

PRE-EMPLOYMENT STATEMENT

(please read before signing)

I understand that the organization will rely, in part, on the information I provide in this Employment Application in considering whether to hire me. I understand that it is important that I provide complete and accurate information and certify that I have done so. If the organization discovers at any time that I failed to completely and honestly provide any information requested of me in this Employment Application or during the interview process, I understand that my application will no longer be considered or, if I am working for the organization, that I will be subject to disciplinary action, up to and including termination of employment.

The organization is committed to compliance with the provisions of this nation’s immigration laws regarding verification of employment eligibility. Any offer of employment will be contingent upon your ability to provide legally sufficient documentation showing your eligibility to be employed by this organization. Applicants or employees that present fraudulent documents for employment verification purposes will be terminated.

I authorize the organization to contact anyone that it deems appropriate to verify the information I have provided or to further investigate my background, past performance and suitability for employment. I consent to being discussed by any person contacted by the organization and waive all rights to bring any action for defamation, invasion of privacy or any similar claim against anyone that provides information to the organization with a good faith belief that the information provided is true. I understand that the organization may choose to obtain background information about me from a consumer reporting agency. Before requesting a report from a consumer reporting agency, the organization will ask for my authorization. I understand that if I refuse to provide such authorization, my application for employment will not be considered.

I understand that this Employment Application is not an offer of employment. I understand that nothing contained in this Employment Application creates a contract between the organization and me for employment or any other benefit. No promises regarding employment have been made and I understand that no such promise or guarantee is binding upon the organization.

I understand that if I am hired, I will be an employee "at will," meaning I am not hired for any definite length of time and either I or the organization can terminate my employment at any time for any or no reason.

If employed, I understand and agree that the organization retains the sole right in its business judgment to modify, suspend, interpret, or cancel, in whole or in part, at any time, with or without any notice, any published or unpublished policy, practice, procedure, process, or benefit.

If employed, I understand that I may be required to comply with federal and/or state Drug Free Workplace Laws and regulations. I understand and agree to comply with such laws.

If employed, I understand that as a condition of employment that I may be required to agree to and sign the organization’s confidentiality, non-compete, and/or other similar agreements. I also agree to notify the organization during the pre-employment process of any confidentiality, non-compete, and/or other similar agreements that I may have already signed with current and/or former employers.
ASCENSION LIVING CORE VALUES
SERVICE OF THE POOR
REVERENCE
INTEGRITY
WISDOM
CREATIVITY
DEDICATION
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https://ascensionliving.org/find-a-community/our-lady-of-peace-lewiston-ny

 

 

Visiting Hours:
Our Lady of Peace Nursing Care Residence honors open visiting hours however, in deference to the nursing care of our residents, suggested visiting hours are between 9:00am through 9:00pm. Thank you.

ALnewsLogo.jpg 

https://ascensionliving.org/find-a-community/our-lady-of-peace-lewiston-ny

 

 

Visiting Hours:
Our Lady of Peace Nursing Care Residence honors open visiting hours however, in deference to the nursing care of our residents, suggested visiting hours are between 9:00am through 9:00pm. Thank you.