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Application for Employment

1 Contact Info
2 Position
3 Education
4 Experience
  • Date Format: MM slash DD slash YYYY
  • Heritage Crossing Care Center is an equal employment opportunity employer. The Company’s policy is not to discriminate against any applicant or employee based on race, color, sex, religion, national origin, age (40 and over), disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws. Heritage Crossing Care Center also prohibits harassment of applicants or employees based on any of these protected categories. It is also Heritage Crossing Care Center’s policy to comply with all applicable federal, state, and local laws respecting consideration of unemployment status in making hiring decisions.

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  • II. Position

  • III. PERSONAL COMMENTS

  • IV. EDUCATIONAL BACKGROUND, MILITARY SERVICE, PROFESSIONAL POSITIONS, AND ADDITIONAL INFORMATION

  • EDUCATION:
  • High School:
  • College:
  • Technical/Postgraduate:
  • Other:
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  • V. EMPLOYMENT EXPERIENCE

  • Starting with current employment, if any, please list employment history in reverse order:
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  • REFERENCES: Please provide the names, addresses, and telephone numbers of two references who are not related to you:
  • VI. ACKNOWLEDGMENT AND SIGNATURE

  • I certify that all the information contained within this application (and any and all attachments) is true and correct to the best of my knowledge, and I understand that any false information or omissions may lead to the rejection of my application or, if I am employed, discipline up to and including termination at the time any such false information or omission is discovered.

    I authorize investigation of all statements contained within this application; authorize Heritage Crossing Care Center to secure information about my background and experience with former employers, educational institutions, and any relevant agencies; and authorize those parties to provide information to Heritage Crossing Care Center concerning my background and experience.

    I understand that, if I am employed, my employment with Heritage Crossing Care Center can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or the option of the company. I further understand that nothing in this application, or in any oral or written statement provided to me by Heritage Crossing Care Center will limit these rights to terminate my employment at will, and no representative of the company will have any authority to change this at-will relationship, unless such a change is authorized in writing and duly signed by the Mari Zakaryan, President of Heritage Crossing Care Center.

    I understand that any offer of employment is conditioned on my providing satisfactory proof of my identity and proof of eligibility to work in the United States. I further understand that this application is only valid for the position applied for at present and that Heritage Crossing Care Center is under no obligation to retain or consider this application for any future openings.

  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

Contact Us

559.297.0077 Phone
559.297.0007 Fax
2792 E Alluvial Avenue
Clovis CA 93611

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