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Call us today to schedule a tour! 724-427-7380

Application for Employment 

Previous Work Experience

List most recent job first

Start Date
Month
Day
Year
End Date
Month
Day
Year

Educational Qualification

General Information

Full Time / Part Time?
Are you willing to wok overtime?
Yes
No
Date Available to Start?
Month
Day
Year
Are you at least 18 years old?
Yes, I am over 18
No, I am under 18
If hired, can you verify that you have the right to work in the United States?
Yes
No
Do you have a reliable means of transportation, to get to work?
Yes
No

Certification And Acknowledgement

I certify that the information provided herein is true and correct to the best of my knowledge. I understand that, if employed, falsified statements on this Application for Employment form will be considered grounds for termination. I authorize the company to thoroughly investigate my work experience and any other matters related to my suitability for employment. I further authorize my former employers to disclose to the company any and all information they may have concerning my previous employment. in addition, I hereby release the company, my former employers, and all other persons from any and all claims, demands, or liabilities arising out of, or in any way related to, such disclosure. I acknowledge that, if employed, both the company and I have the right to terminate the employment relationship at any time, with or without cause or advance notice. This employment at will relationship will remain in effect throughout my employment with the company and may not be modified by any oral or implied agreement.

Date
Month
Day
Year
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Join the Vida Springs Family

Make a Difference Every Day

At Vida Spring, we’re more than just a team — we’re a family dedicated to providing compassionate care and creating a warm, welcoming environment for our residents. If you’re passionate about making a positive impact, we’d love to hear from you. Fill out the form below and take the first step toward a rewarding career with us.

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© 2024 Vida Springs Senior Living & Personal Care Home. Created by Leacon Digital.

724-427-7380

724-997-3481

1378 4th Street, Monogahela, PA 15063

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