Application for Employment

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Step 1 of 5

This is a multi-page form. You must complete each page before moving on to the next page.

If you unable to complete the entire form in one session, you may click on the "Save and Continue Later" link (below, next to the green button) at the base of the form page. You will be emailed a link that will allow you to come back to form where you left off to continue submission.

Date of Application*

Position(s) Applied For*

Your Information

Name*

Address*

Phone*

Email*

Driver's License No.*

State Issued*

References

References*

References are required, please list 3.

Name

Phone

Years Known

Verification and At-Will Employment

I hereby certify that this application is complete to the best of my knowledge for the periods of employment listed and all information given is true and contains no misrepresentation. I am aware that all statements submitted on this application are subject to investigation and verification. I understand that any withholding of information, misrepresentation or falsification of statements on this application could result in rejection for employment, or if employed, termination from Sandstone Senior Living (SSL) at that time. I also understand nothing in this application or in granting of an interview is intended to create an employment contract. I have received no promise regarding employment and I understand no such promise or guarantee is binding on Sandstone Senior Living. If an employment relationship is established it is referred to as “employment at will.” This means that your relationship can be terminated at any time for any reason, with or without cause or notice by you or Sandstone Senior Living. No representative of SSL has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will” and that you acknowledge no oral or written statements or representation regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Administrator, Vice President or President.

Authorization and Release of Information

In order for Sandstone Senior Living to access and verify my work history, I authorize any name mentioned as a reference on my application to release work related information to Sandstone Senior Living. A photocopy of this Authorization and Release may be treated as if it was an original. The original is maintained in the Human Resources Department and will be available upon request. I have carefully read and understand this Authorization and Release and have voluntarily agreed to its terms in order to assist SSL in its goal of engaging honest, trustworthy, reliable, capable, and nonviolent employees and volunteers. I further understand that all information and documents acquired by SSL will be maintained as confidential by the HR Department and they will not release such information to me, except as may be required by law.

Signature*

By typing in my name, I hereby sign this application.

American with Disabilities Act: Sandstone Senior Living fully subscribes to the provisions of the Americans with Disabilities Act and will attempt in its employment process to make any reasonable accommodations necessary to assist qualified persons with disabilities.

Equal Employment Opportunity: It is the policy of Sandstone Senior Living to provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, creed, ancestry, pregnancy, age, genetic information, or disability in employment or the provisions of services, or any other basis prohibited by state or federal laws.

Name

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