Online Employment Application

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. New Communities is an equal opportunity organization. Accommodations to enable all individuals to participate in the application process will be provided upon advance request.


*Fields are required.


PERSONAL

*First Name:

*Last Name:

Address:

City:

State:

Email Address: If a valid email address is provided, a confirmation of your employment application submission will be sent to you.

*Primary Phone Number:

--

*How should we reach you?


POSITION

Position you are applying for:

If other, please explain:

What location(s) are you most interested in?

Are you interested in:

Date available to start work:

 

//


WORK/EDUCATION

If you would like to include a resume, you may attach a file below.

Resume file upload:


If your resume is attached you may skip the section below. Otherwise, please complete the following.


Employer Name:

Employer Address:

Dates Employed:

From/ To/

Final Rate of Pay:

Job Title:

Duties Performed:

Reason for Leaving:


Employer Name:

Employer Address:

Dates Employed:

From/ To/

Final Rate of Pay:

Job Title:

Duties Performed:

Reason for Leaving:


Employer Name:

Employer Address:

Dates Employed:

From/ To/

Final Rate of Pay:

Job Title:

Duties Performed:

Reason for Leaving:


*Do you have a High School Diploma or GED?


If you have post-high school education, please complete the following:

Name of College/Institute:

Major:

Degree:

Years Completed:


Name of Post Graduate Institution:

Major:

Degree:

Years Completed:


List all professional certifications/licenses, for example CRMA, CNA, DSP, PSS, RN, MHRT-I, etc.:


Name of license/certification:

State

Active:

Name of license/certification:

State

Active:

Name of license/certification:

State

Active:

Have you ever had your professional license to
practice suspended?

If yes, please explain:


ADDITIONAL INFORMATION

Are there other skills or experiences that relate to the position that you would like to share?


*Are you at least 18 years old?

*Do you have a valid driver's license?

Please note: Answers to the following questions do not automatically qualify or disqualify you from consideration. However, false or incomplete responses will result in disqualification.


*In the past ten years have you been convicted of a felony or misdemeanor?

If yes, please explain:


*Have you ever been investigated or charged for Abuse, Neglect, or Exploitation of a child or adult?

If yes, please explain:


Have you ever previously worked for
Medical Care Development, MCD Communities, or New Communities?

Do any of your relatives or members of your household currently work for or are residents/clients of New Communities?

If yes, please explain:


How did you learn about the position(s)?


 

STATEMENT


I certify that answers given herein are true and complete to the best of my knowledge. I agree to promptly advise New Communities, Inc. Human Resources if an event occurs that would change my response to any of these answers or if new information arises regarding these matters.


Certify that I am legally authorized to work in the U.S.


I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that I will be required to authorize background checks if a conditional job offer is made.


I hereby authorize all my previous employers or references to furnish any information concerning my personal character, habits or employment records. I hereby release all such persons from liability or damages incurred as a result of inquiry in furnishing this information.


In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.


I affirm that this information is true and accurate and agree to all of the disclosures and conditions included in this application.


Typing in your name will act as your online signature

*Name:

*Date:



  A A A