Employment Application Form

Please answer all required fields. Effective for a 6 month period from date of filing.

Surname(required)

Given Names(required)

Preferrred Names

Telephone Number(required)

Residence Addresses

Present Address(required)

Date of Residence

From(required)

To(required)

Health

Are you able to meet the requirements of the position?(required)

Position

Type of Employment(required)

Full-Time

Casual

Summer

Type of Work Preferred - First Choice(required)

Type of Work Preferred - Second Choice(required)

Are you over 18 years of age:(required)

If no, please state age:

Do you have any experience in providing care support to anyone with mental or physical challenges?(required)

Do you agree that people with mental or physical challenges deserve to have equal rights?(required)

Do you have a driver’s license?(required)

Are there any restrictions on your driver’s license?(required)

In a short summary 250 words or less, please tell us why you would like to become an employee of The Sunset Community(required)

Previously Employed by Sunset Services?(required)

If Yes, Department

From

Education

Type of Education (Please Choose)(required)

Name of Institution(required)

Graduated(required)

Length of Course(required)

Diploma/Degree/License(required)

Type of Education (Please Choose)

Name of Institution

Graduated

Length of Course

Diploma/Degree/License

Voluntary Work Experience

Sunset Services recognizes the value of practical, voluntary, community and homemaking experience. Describe such experience in detail, if you consider it relevant to the position or type of work you are applying. Include dates of involvement and approximate hours per week devoted to such activity.

Employment History

Please complete for your 3 most recent jobs

Job 1

Name of Employer(required)

Address(required)

Position(required)

Date of Employment Start(required)

Date of Employment End(required)

Reason for Leaving(required)

Duties/Responsibilities(required)

Job 2

Name of Employer(required)

Address(required)

Position(required)

Date of Employment Start(required)

Date of Employment End(required)

Reason for Leaving(required)

Duties/Responsibilities(required)

Job 3

Name of Employer(required)

Address(required)

Position(required)

Date of Employment Start(required)

Date of Employment End(required)

Reason for Leaving(required)

Duties/Responsibilities(required)

Have you ever been discharged or requested to resign from a position? (If so, please explain)(required)

Have you ever had a bond denied or revoked? (If so, why?)(required)

References

List references, preferably former employers and other business or professional persons whom we may contact.

Reference 1

Name(required)

Position(required)

Telephone Number(required)

Address(required)

Years Known(required)

Reference 2

Name(required)

Position(required)

Telephone Number(required)

Address(required)

Years Known(required)

Reference 3

Name(required)

Position(required)

Telephone Number(required)

Address(required)

Years Known(required)

Is there any other information which you consider pertinent to your application?

Pre-Employment Statement

I certify that the foregoing statements are complete and correct to the best of my knowledge and belief. I authorize Sunset Services to obtain such further information from others as it is reasonably require. I acknowledge and agree that the falsification of any information on this application for employment form may result in my immediate discharge from employment without further notice.

Agreement(required)

I Agree

Name(required)

PLEASE NOTE: By filling in your full name here it acts as a virtual signature.

Current Date(required)

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Your interest in employment with Sunset Services is appreciated.

902-243-2571

Employment Application Form

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