Employment

Join Our Compassionate Team at Aspen Acres

At Aspen Acres on Rock Creek Road in Hayward, WI, we know that our team is the heart of our community. If you are looking for a fulfilling career where you can make a meaningful difference in the lives of seniors, we encourage you to take the first step and explore our current openings. We are eager to learn about your talents, your passion, and your interest in becoming part of the Aspen Acres family.

Date
MM slash DD slash YYYY
PERSONAL
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Best Daytime Phone
Position Desired
Available to Start
When would you be available to begin work?
Shift Availability
This position requires both day, night, and weekend shifts. Would you be available to work these shifts (with flexibility)?
- Yes
- No
Shift Availability Notes
EMPLOYMENT
List most current employer first, including U.S. Military Service.
Employer
Position
Dates of Employment - From
Employed From:
Dates of Employment - To
To:
Salary
Supervisor
Telephone
Reason for Leaving
May We Contact
May we contact this employer?
- Yes
- No
Employer
Position
Dates of Employment - From
Employed From:
Dates of Employment - To
To:
Salary
Supervisor
Telephone
May We Contact
May we contact this employer?
- Yes
- No
REFERENCES
Give the name of one person not related to you.
Phone
REFERENCES: Name
Phone
Relationship
Were You Referred by Someone?

REFERRAL
May we thank anyone for referring you to us?
- Yes
- No
Referred By
APPLICANT’S CERTIFICATION AND AGREEMENT
I hereby certify that the information provided in this employment application is true and complete to the best of my knowledge. I authorize Aspen Acres to conduct inquiries into my personal employment, educational, financial, and other relevant history as necessary for making an employment decision. I release Aspen Acres and its representatives from any liability in connection with obtaining such information and making a decision based upon it. I understand that any falsified statements or omissions of fact on this application are grounds for dismissal, if employed. I further understand that if an employment offer is made and accepted, I am expected to adhere to all policies, rules, and regulations of Aspen Acres on Rock Creek Road in Hayward, WI. I acknowledge that this application, the company policies, and any pre-employment discussions do not constitute a contract for indefinite employment. My employment is at-will, meaning either I or Aspen Acres may terminate the employment relationship at any time, with or without cause or notice.
Signature
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Date
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Join Our Compassionate Team at Aspen Acres

PERSONAL

EMPLOYMENT

REFERENCES

REFERRAL

APPLICANT’S CERTIFICATION AND AGREEMENT