Careers - Online Employment Application

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Notice to Applicants
This facility does not discriminate on the basis of age, gender, race, religion, national origin, or disability other than those related to the ability to perform the job for which the applicant is being considered. After a conditional job offer is extended, Nebraska law requires the facility to perform a criminal background check and registry checks on all direct care staff. It is the policy of this facility to not hire direct care staff with criminal histories involving violence, abuse, neglect, or misuse of others’ property. State law also requires every staff person to complete a health history screen. This facility may require a physical examination by a health care professional and/or a pre-employment drug screen at the facility’s expense. The facility’s hiring decision may be based on the results of the screen. This application is current for ninety (90) days. If the applicant does not hear from this facility in ninety (90) days and still desires to be considered for employment, it will be necessary to complete a new application. Dishonesty in completing this form is reason for immediate dismissal.

Required information is marked by an asterisk (*)

Demographics:



































Employment History:














Other Former Employers:
























Education:












Personal References:
















Employment Agreement:


I give this community permission to contact previous employers and personal references and release from all liability all individuals or companies providing such information. I understand my employment and/or continued employment may be dependent upon the results of background checks, physical examination, and drug test. I understand my employment may be terminated for any dishonesty in completing this form.