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Kirby Pines Retirement Community is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, sex, age, color, religion, national origin, sexual orientation, gender identity, veteran status, genetic information or any disability as defined in the Americans With Disabilities Act, or for any other reason protected by Local, State or Federal law.
This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered.
List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references.
I certify that my answers to the foregoing questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed.any false, misleading or otherwise incorrect statements made on this application form or during any interviews may be grounds for my immediate discharge.
I hereby authorize Kirby Pines to contact any company or individual it deems appropriate to investigate my employment history, education, character and qualifications and I give my full and complete consent to their revealing any and all information they wish as a result of this investigation. In addition, I hereby waive my right to bring any cause of action against these individuals for libel, stander, defamation, invasion of privacy or any other reason because of their statements.
I agree that, if I am employed, I will abide by all the rules and regulations of Kirby Pines. I understand that the taking of drug and alcohol tests, when given pursuant to company policy, are a condition of continued employment and refusal to take such tests when asked will be grounds for my immediate termination. I also acknowledge that, if I am employed, it is my affirmative responsibility to report to management any evidence of sexual or other illegal forms of harassment immediately. I further understand that nobody in Kirby Pines is authorized to enter into any written or verbal employment contracts with me for any definite period of time without the express written consent of the President of the Kirby Pines. I also understand that my employment is at-will and may be terminated by myself or by the company at any time for any reason or no reason at all, with or without prior notice.
Without guaranteeing you employment and/or FMLA leave should Kirby Pines extend you an offer of employment, this notice certifies only that as of the date of this application, Kirby Pines is a covered employer under the federal Family and Medical Leave Act. In the event Kirby Pines extends you an offer of employment, you can obtain more information about your eligibility for FMLA leave from Human Resources and/or our employee handbook.
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