Careers – Homestead LTC

We are an Equal Opportunity Employer and committed to excellence through diversity. The application must be fully completed to be considered. In order to continue to reach our goals as a company, we are seeking experienced staff to join our team.

Personal Information

Name

First Last

Which location would you like to apply for?*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Are you legally eligible to work in the US?

Yes
No

Are you a veteran?

Yes
No

If selected for employment are you willing to submit to a background check?

Yes
No

Position

Position You Are Applying For

Other*

Available Start Date

Employment Desired

Full Time
Part Time
Temporary

Education

School Name	Location	Years Attended	Degree Received	Major

School Name	Location	Years Attended	Degree Received	Major

References (business and professional only)

Name	Title	Company	Phone

Name	Title	Company	Phone

Employment History

Employer	Job Title	Dates Employed	Work Phone	Starting Pay Rate	Ending Pay Rate	Address, City, St, Zip

Employer	Job Title	Dates Employed	Work Phone	Starting Pay Rate	Ending Pay Rate	Address, City, St, Zip

Employer	Job Title	Dates Employed	Work Phone	Starting Pay Rate	Ending Pay Rate	Address, City, St, Zip

Background Investigation Data

NOTE: Criminal convictions (including guilty pleas) do not automatically disqualify an individual from employment. Circumstances surrounding a conviction, including the nature of the offense, the time of the offense, and evidence of rehabilitation since the offense, will be reviewed and taken in to account in light of the position for which you are being considered. For purposes of this section, SIS, probation, guilty plea, nolo contedere, etc. are all convictions.

Have you ever been convicted of and/or fined for the commission of a criminal offense, misdemeanor or felony, including driving under the influence of alcohol or drugs, possession of illegal substances, theft, moving violations, but not including traffic citations, such as running a red light, speeding, reckless driving, etc.?

Yes
No

If yes, please explain and list date(s)

Acknowledgement Disclaimer

Consent*

By checking this box, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated.*