Meadowlark Hills - Employment

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Employment Application

At Meadowlark, there is nothing more valuable to achieving our mission than our employees. We treat each other and those we serve with dignity, respect and compassion. We face challenges together. We celebrate our successes and take our duties seriously, always considering the impact we have on one another. Our mission to liberate and serve our residents runs through the very thread of who we are.
All applicants are considered without regard to race, color, religion, sex, national origin, national ancestry, sexual orientation or disability. We are an equal opportunity employer.
Meadowlark Hills is a drug-free workplace.
Submitting an online application completes the first step of the two-step application process. The second step is to complete a Culture Index Survey that will be sent to the email address listed on the application. It may take up to three (3) days for the Survey to appear in your email; please note that it may be received in your Spam Folder. Applications are only considered valid once the Culture Index Survey has been completed. If the Survey is not completed within two weeks, then the application for employment will not be retained by Meadowlark Hills.

Full Name: *
E-mail Address: *
Full Address: *
Date: *
Daytime Phone: *
Evening Phone:
Position Applying For:
Departments: *	Dietary Housekeeping Laundry Maintenance Health Care Social Services Finance / IS Marketing HR Home Health Wellness
Households:	Collins Stolzer Honstead Lyle Miller Tinklin Pointe Sloan
If certified, licensed, or registered, please give number:
Expires:
Referral Source: *	Website Kansas Joblink Employment Agency Meadowlark Employee Newspaper Walk-In Friend Other
When can you begin?
Type of Employment:
Have you been employed with us before? *	Yes No
If so, when?
If so, under whose supervision?
If so, position held:
State names of relatives and friends working at Meadowlark
Have you been convicted of a criminal and/or juvenile offense?	Yes No
If yes, explain:
S.B. 2972 prohibits the operation of an adult care home or home health agency if there is employed any persons previously convicted of prohibited offenses as described in K.S.A. 39-970 & 65-5117

EDUCATION:
High School:
Name & Location:
Highest Grade Completed:
Junior College, Vo-Tech
Name & Location:
Course of Study:
Average Grade:
Years Completed:
University
Name & Location:
Degree & Major
GPA:
Years Completed:
Advanced Degrees or Other Education:
Name & Location:
Degree & Major
GPA:
Years Completed:

Special Skills or Qualifications:

PREVIOUS EMPLOYMENT: Please include: Name, Location and Phone of Employer, Job Position, Supervisor's Name & Title, Dates worked, Brief Description of Duties, Salary amount and type (hourly, monthly, etc) and Reason for Leaving.
Most Recent Employer 1: *
Most Recent Employer 2: *
Most Recent Employer 3:
Most Recent Employer 4:

APPLICANT'S STATEMENT: I certify that information given herein is true and complete to the best of my knowledge. I do hereby freely and voluntarily authorize Meadowlark Hills to verify information or have accesss to any records or information concerning prior employment and/or prior education as listed on my application for employment and prior arrest and/or convictions due to criminal charges having been filed against me and that may be maintained in the files of any Law Enforcement Agency, and do hereby authorize those institutions, individuals, or agencies to release records of information about me to Meadowlark Hills, 2121 Meadowlark Road, Manhattan KS 66502. I further understand that an offer for employment is contingent upon the results of a reference/background check, including, but not limited to, a KDHE background check. I understand that this application is not and is not intended to be a contract of employment. I also understand that I will be required to complete a Health Examination (which shall include a two-step Tuberculin Skin and/or Chest X-Ray to rule out the existence of Tuberculosis) prior to or on my first day of employment and that proof of citizenship or immigration status will be required upon employment. I further understand that Meadowlark Hills Retirement Community is a drug-free workplace and that I am subject to random drug testing.
By Clicking Submit, I agree to the above Statement: *	I Agree I Disagree
Date: *

Thank you for your interest in employment with Meadowlark Hills. We are currently reviewing all resumes and applications. Should we feel your background and skills are a close match for this position, we will contact you to schedule an interview within the next 14 days. If you are not contacted, you application or resume will be retained for 6 months for future consideration. If you receive the Culture Index Survey, please complete it as soon as possible. PLEASE NO PHONE CALLS. Again we appreciate your interest in employment opportunities at Meadowlark Hills.

* Required