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Home
ABOUT US
OUR HISTORY
LEADERSHIP TEAM
CAREER OPPORTUNITIES
SERVICES
SKILLED NURSING
REHABILITATION
INDEPENDENT LIVING
PERSONAL CARE
RESPITE CARE
FAITH MINISTRY
LIFE ENRICHMENT
ON-SITE AMENITIES
NEWS & EVENTS
GOLF TOURNAMENT
SUPPORT US
CONTACT US
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Applicant Information
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
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Zip Code
Phone
*
Email
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Employment Details
Position applying for:
*
Date Available:
*
Employment Type
*
Full-Time
Part-TIme
Per Diem
Shift (Check all that apply)
*
Day Shift ( 7am - 3pm )
Evening Shift ( 3pm - 11pm )
Night Shift ( 11pm - 7am)
12 Hour Shift ( 7am -7pm )
12 Hour Shift ( 7pm - 7am )
Weekend Program
Any Shift Available
Who referred you to this position?
Were you previously employed by Holy Family Senior Living?
*
Yes
No
Employment History
________________________________________________________________________________________________________________________________________________________
Position 1
Name/Location of Employer 1
Start Date
End Date
________________________________________________________________________________________________________________________________________________________
Position 2
Name/Location of Employer 2
Start Date
End Date
________________________________________________________________________________________________________________________________________________________
Position 3
Name/Location of Employer 3
Start Date
End Date
________________________________________________________________________________________________________________________________________________________
U.S. Military Service
Branch:
Specialized Training:
Education and Other Information
Name and Location of College, University, Specialized Courses/Training
Major or Area of Study
Degree/Certificate
________________________________________________________________________________________________________________________________________________________
Name and Location of College, University, Specialized Courses/Training
Major or Area of Study
Degree/Certificate
________________________________________________________________________________________________________________________________________________________
Name and Location of College, University, Specialized Courses/Training
Major or Area of Study
Degree/Certificate
________________________________________________________________________________________________________________________________________________________
If you are applying for a position which requires a license or certification, is it currently valid in the Commonwealth of Pennsylvania?
*
Yes
No
Resume or Cover Letter
Upload Cover Letter
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Upload Resume
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Information collected via this Express Application will be used for recruitment purposes by HFSL. The information you submit may be disclosed to team members who are involved in the recruitment process. If you do not provide the information requested, we may be unable to process your application or further consider you for employment. Any information collected will be used only for the purpose stated above. If you are contacted for an interview, you will be asked to complete a full Employment Application. I consent to HFSL using and disclosing my information in the manner described above. I acknowledge:
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I have read and understand the above statement.
I am legally eligible to work in the United States.
*
I am legally eligible to work in the United States
All information is true and complete
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All the information which I submitted is true and complete.
I understand that any false or misleading information I provide may lead to the rejection of my application or dismissal from employment at a later date.
Signature:
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Date:
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