The Village at Manor Park

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Employment Application

The Village at Manor Park is an equal opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex, age, national origin, citizenship status, veteran status or disability, or other factors protected by federal, state, or local law.

The Village at Manor Park is committed to being a drug-free workplace. Following a conditional offer of employment, you may be required to successfully pass a drug and alcohol test. Refusal to take a drug and alcohol test or a positive test result will result in revocation of the offer of employment.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.

Manor Park, Inc. (MPI) is required to and will conduct a criminal record check under Texas Law. Candidates will be ineligible for employment with MPI if they have committed certain criminal offenses.

Employment Desired



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Are you available to work:
Days Nights Part time PRN
Full Time Overtime Weekends  

 

Days and Hours Available: (If employed, I will notify my supervisor in writing, should my availability change.)
Day Mon. Tues. Wed. Thurs. Fri. Sat. Sun.
Hours Available

 

How did you hear about the job opening? (Check all that apply)
Advertisement Internet Recruiting Firm Walk-in
Other (please specify)


Personal Information

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Education

Level Name/Location of School No. of Years Completed Subjects Studied Diploma or Degree Received
High School
College
Trade School
Graduate Work

 

PROFESSIONAL LICENSE OR CERTIFICATION If a license, certificate, or other authorization is required or related to the position for which you are applying, complete the following:

License/Certification (CNA, LVN, CPA, etc.) Date Issued Date Expires Issued by / Location of issuing authority (State or other authority) (City & State) License No.

Employment History

Start with your present or most recent employment and work backwards in time.






Professional References

List the names of three (3) persons with whom you have worked or studied under:



APPLICANT’S CERTIFICATION AND AGREEMENT

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Manor Park, Inc. to verify their accuracy and to obtain reference information on my work performance. I hereby release Manor Park, Inc. from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and adopted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

  I have read this Applicant’s Certification and Agreement, and I fully understand its contents.

INFORMATION FOR APPLICANT

(Read Carefully Before Checking the Agreement Box)
1. This application is valid for only thirty (30) days. If you have not been employed at MPI within thirty (30) days of your application, you must re-apply for a position.
2. By my signature below, I agree to the following:
a. Manor Park, Inc. (MPI) is required to and will conduct a criminal record check under Texas Law. I understand that I will be ineligible for employment with MPI if I have committed certain criminal offenses.
b. I consent to take any examinations, including but not limited to tests for alcohol or drugs, that may be requested by MPI; (1) following an offer of employment and prior to commencement of work; and (2) during the course of my employment, consistent with applicable law, including but not limited to the Americans with Disabilities Act. I further authorize any health care professional or testing facility who performs such an examination or who has other information concerning my physical, mental, or other medical status to release such information to MPI. I understand that if my drug screen is positive for any illegal substances, that any offer of employment will be rescinded, or if I have already commenced work, I will be terminated.
c. I understand that any false statements or omissions made by me in connection with my application, or in responding to requests for information, can be sufficient grounds for my rejection as a candidate for employment or for my immediate discharge.
d. I understand that any employment I might be offered by MPI is at-will, or indefinite duration and not a contract, and that either I or MPI can terminate that employment at any time with or without notice for any or no reason, and that no agreement to the contrary will be recognized by MPI unless made in writing and signed by the Director of Human Resources of MPI. I understand that satisfactory completion of my provisional period will not change my status as an at-will employee.
e. I understand that none of MPI’s practices or policies are to be construed as imposing any binding obligations on MPI, and that they are subject to change or deletion at any time in MPI’s sole discretion.
f. I hereby authorize MPI to obtain from schools, former employers, or other individuals or institutions it contacts, any information in their possession regarding my employment history or qualifications for the job for which I have applied. I promise to hold harmless, covenant not to sue and release MPI, the entities and individual contacts and their agents from any and all liability which may flow from the obtaining and/or dissemination of such information.
g. I hereby authorize MPI to obtain background investigative report made by a reporting agency with respect to me. I release, promise to hold harmless and covenant not to sue MPI, the reporting agency, and their agents from any and all liability which may flow from the obtaining and/or dissemination of such information.

  I have read this Information for Applicant, and I fully understand its contents.

We’d love to hear from you! Please fill out the form on the left or feel free to give us a call.

Main Campus:
(432) 689-9898

Toll Free:
(800) 523-9898

Independent Living:
(432) 699-3414

Helen Greathouse Manor Assisted Living:
(432) 694-1691

Health Care Centers:
(432) 699-3401

Rehab, Skilled Nursing, & Alzheimer’s Care:
(432)699-3439

Address:
Manor Park, Inc.
2208 North Loop 250 West
Midland, TX 79707