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To submit your application please complete the form below. Fields marked with a red asterisk * are required. When you have finished click Submit at the bottom of this form.

Click the Upload Resume to use your resume to pre-fill this application form.
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Email Registration


Your email address will be used as your login name allowing you to return to our website update your profile. If you do not have an email address, you can obtain a free account at Gmail or Yahoo.  Please make sure that the syntax of your email address is in the following form: username@ispname.com

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Passwords must be at least six(6) characters



Authorization And Release For References

All information provided by me in support of my application for employment is true and correct to the best of my knowledge. I understand that misrepresentations or omissions may be cause for rejection or may be cause for subsequent dismissal if I am hired.

I voluntarily and knowingly authorize any former employer, person, firm, corporation, school or government agency, its officers, employees and agents to release any and all information concerning my former employment to any prospective employer, its officers, employees and agents, or any other person or entity making a written or oral request for such information. I understand that the employment information may include, but is not necessarily limited to, performance evaluation and reports, job descriptions, disciplinary reports, letters of reprimand, and opinions regarding my suitability for employment possessed by it.

I voluntarily and knowingly, fully release and discharge, absolve, indemnify and hold harmless such former employer person firm, corporation, school or government agency, its officers, employees and agents from any and all claims liability, demands, causes of action, damages, or costs, including attorney's fees, present or future, whether known or unknown, anticipated or unanticipated, arising from or incident to the disclosure or release except for the malicious and willful disclosure of derogatory facts concerning my employment made for the express purpose of preventing me from obtaining employment which the officer, employee or agent disclosing such facts knows are untrue.

I hereby authorize my police record to be released to Luther Manor. I release you, as the custodian of such records from any and all liability for damages of whatever kind, which may at any time result to me, because of compliance with this authorization. I further understand that my employment is partially contingent on a conviction record free from any crime, which substantially relates to my activities at Luther Manor.


By checking the box below I acknowledge that I have read, understand, and agree to the above Authorization and Release for References information.

   

For reference checking purposes only, please confirm and complete the following information.

May your current employer or reference associated with your current employer be contacted?

Please list other names  used for employment purposes (e.g. married name, maiden name, etc...)


Please type any additional comments you may have in the space provided.

   

Personal Information

 
 
 
 
 

Scheduling Requirements

 

Do you have any plans pending for which you will require time away from work?

If yes, please indicate timeframe:

If you have any special scheduling restrictions, please describe them here:


How did you hear about us?


Criminal Background

Have you ever been convicted of a crime othe than a traffic violation?

   

Do you have any convictions pending other than traffic violations? If so, please explain in the space provided below. Enter N/A in the explanation space if you answered "No" to pending convictions.

 

Additional Information


Employment History:

Responsibilities and Duties


+ Add Another Work History    


Education:

+ Add Another Education    


Certificates/Licenses:

+ Add Another Certificates And Licenses    


Resume Attachment

Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.
Add Resume & Attachments

Cover Letter
You can use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.

Voluntary Equal Opportunity Questionnaire

As an equal opportunity employer, we hire without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability. We invite you to complete the optional self-identification fields below used for compliance with government regulations and record-keeping guidelines.

Attention Applicant: Please read the following information carefully.

I understand that all offers of employment are conditional upon presentation of proof and completion of a form I-9, verifying that I am authorized to work in the United States.

I certify that the information contained in this application is correct to the best of my knowledge, and I understand that falsification or omission of information is grounds for dismissal in accordance with Luther Manor policy. I authorize references listed within this application to give you any or all information concerning my current or previous employment.

I understand that all employees are hired for a training period of 90 calendar days from the most recent date of hire.

In consideration of employment, I agree to conform to the rules and regulations of Luther Manor, and I acknowledge that I am free to resign at any time. Similarly, Luther Manor is free to terminate my employment relationship at any time with or without cause, and with or without notice. I understand that neither myself nor Luther Manor has entered into any contract of employment, expressed or implied. I understand that employment is conditional until all references have been verified and is contingent upon satisfactory results of a physical examination, a TB test and a drug screen.

If you are offered employment, a medical examination will be required before you start work. If the examination discloses medical conditions that prevent you from successfully performing the essential function of the job, the company will attempt to make accommodations to allow you to work. If no reasonable accommodations can be found or they cause an undue hardship on the company, the tentative offer of employment will be withdrawn.

I hereby certify that the information contained in this form is correct to the best of my knowledge, and I understand that falsification or omission of information is grounds for dismissal in accordance with Luther Manor policy. I authorize references listed within this application to give you any or all information concerning my current or previous employment.

By clicking the "Submit Application" button below you are digitally signing this form indicating that you have read the above information and are in agreement with all of the statements above.


 
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