Grandview Health Homes, Inc.
 
1313634140_Login_Manager.png  Join the Grandview Team - Apply Today

EMPLOYMENT APPLICATION:  GRANDVIEW HEALTH HOMES, INC. 

TO APPLICANT:  We appreciate your interest in Grandview Health Homes., Inc. and assure you that we are sincerely interested in your qualifications.  A clear understanding of your background and employment history will aid us in considering you for a position that best meets your qualifications and the needs of our business.

APPLICANT AUTHORIZATION:  Grandview Health Homes, Inc. (its Employees, Officers, Agents, and Authorized Representatives) is hereby authorized to contact persons, schools, employers and organizations named in this application to request relevant information as to my character, work habits, job performance and personal characteristics.  I understand and agree that if employed, any false statements, deliberate omission or material misrepresentation on this application shall be considered sufficient cause for dismissal.

By digitally signing this application I understand that my employment may be terminated by me or Grandview Health Homes, Inc. at any time for any reason and that nothing in this application, the interview process, or the course of my employment with Grandview Health Homes, Inc., if hired, will constitute a contract of employment except an express written and signed employment contract.  I further understand that if hired I have a continuing obligation to inform Grandview Health Homes, Inc. about any condition in my physical or mental health which could effect my employment, my fellow employees or the relationship of Grandview Health Homes, Inc. to its customers.

It is Grandview Health Homes, Inc. policy to offer equal employment opportunities to all qualified persons, regardless or race, creed, color, gender, age, sexual orientation, national origin, ancestry, genetic information, religion, disability, veteran status, marital status or other status provided by law.  No applicant is to be discriminated against or given preference because of these factors.

APPLICATION


Your First Name *

Your Last Name *

Middle Initial

Todays Date
:

Street Address *

City *

State *

Zip code

Country

Home Phone

Cell Phone

Email Address *

1. Are you legally eligible to work in the United States *
 
 

2. If under 18, do you have a work permit
 
 
 

 

3. Have you resided in Pennsylvania over the past two years *
 
 

 

4. Have you been dismissed from employment due to abuse of clients or residents *
 
 

If "YES" please describe the circumstances in full

 

5. Have you ever been convicted of a crime? (Misdemeanor or a Felony) *
 
 

If "YES" please describe the circumstances in full

 

6. What position(s) are you applying for *

Rate of pay expected *

 

7. I am willing to work *
 
 
 

Specific Days and Hours

 

8. Have you ever.... *
 
 

If previously employed by Grandview, specify dates of employment

 

9. If your application is considered favorably, on what date will you be available for work *

 

10. RECORD OF EDUCATION


Name of High School and Address

Did you graduate
 
 

Name of College and address

College course of study

Last year completed

Did you graduate
 
 

Diploma or Degree

Other education and address

Course of study

Last year completed

Did you graduate
 
 

Diploma or Degree

 

11. Do you have a professional license or certification *
 
 

If "YES" please explain

 

12. Is your professional license or certification in good standing

If "NO" please explain

 

13. Are there any current actions pending against your Professional License or Certification
 
 

If "YES" please explain

 

14. Has the above listed Professional License or Certification been suspended in the past
 
 

If "YES" please explain

 

15. How were you referred to Grandview Health Home, Inc. *

If "Other" please explain

 

16. Please list any relatives or friends that work for Grandview Health Homes, Inc.

 

17. Describe any other skills or qualifications that you feel would qualify you for work with the company

 

18. Present or Most Recent Employer


Name of Company

Type of Business

Company Address

Supervisor's Name

Supervisor's Title

May we contact this employer?
 
 

Phone Number

Position You Held

Date Employed From

Pay Rate

Describe your job duties

Reason for leaving

 

19. Second or Previous Employer


Name of Company

Type of Business

Company Address

Supervisor's Name

Supervisor's Title

May we contact this employer?
 
 

Phone Number

Position You Held

Date Employed From

Pay Rate

Describe your job duties

Reason for leaving

 

20. Third or Previous Employer


Name of Company

Type of Business

Company Address

Supervisor's Name

Supervisor's Title

May we contact this employer?
 
 

Phone Number

Position You Held

Date Employed From

Pay Rate

Describe your job duties

Reason for leaving

 

21. Professional References (If applicable)


1. Name

Relationship

Number of years known

Address

Phone

 

2. Name

Relationship

Number of years known

Address

Phone

 

3. Name

Relationship

Number of years known

Address

Phone

 

I agree to the disclaimer below and wish to submit my application now.


 

I understand that should I be offered employment with Grandview Health Homes, Inc., I will be subject to a three month introductory period.  I agree to take a physical examination and drug test at the request of the Company and authorize the examining physician to disclose the findings to the Company or an authorized agent of the Company.  Such examinations will be at Company expense, unless I voluntarily resign my employment during the three month introductory period.

I understand that I will not be elibible for employment by Grandview Health Homes, Inc. until receipt of satisfactory results for the following:  Physical Examination, Drug Test, Mantoux Test (TB), Employment References, Nurse Aide Registry (if applicable), Criminal Background Investigation, FBI Check (if applicable) and required proof of licenses or certifications.
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49 Woodbine Lane, Danville, PA 17821

(570) 275-5240