Employment

Join Our Compassionate Team at Harmony House

At Harmony House Memory Care, we believe that our team is the heart of our community. If you are seeking a rewarding career where you can make a genuine difference every day, we invite you to take the first step and apply below. We look forward to learning about your skills, your heart, and your desire to join the Harmony House 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 affirm that the information I have provided in this employment application is accurate and complete to the best of my knowledge. I authorize Harmony House to investigate my personal employment, education, financial, and other history as deemed necessary for evaluating my candidacy. I release Harmony House and its agents from any liability resulting from such inquiries and the employment decisions made from them. I understand that any misrepresentation or willful omission of facts on this application is cause for dismissal, should I be employed. I further acknowledge that if an offer of employment is extended and accepted, I will be required to abide by all policies, rules, and regulations of Harmony House. I recognize that this application, the company policies, and any pre-employment communications do not constitute an employment contract for any definite period. My employment with Harmony House is "at-will," which means that either I or Harmony House may terminate the employment relationship at any time, for any or no reason, with or without notice.
Signature
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Date
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Join Our Compassionate Team at Harmony House

PERSONAL

EMPLOYMENT

REFERENCES

REFERRAL

APPLICANT’S CERTIFICATION AND AGREEMENT