Rosewood AFC Job Application Job Openings If you’re seeking a position at Rosewood AFC, you should know that you’re not just joining a team – you’re joining a family. Gentle hearts, caring hands, enriching lives – that’s our mission. We’re an award-winning senior care home with a close-knit structure that makes it easy for our 12 residents and their families to get to know and trust the staff. Our culture embraces the importance of our caregivers to develop a close relationship with each resident and build personal bonds that augment their medical care. The staff at Rosewood goes through extensive universal caregiver training in all aspects of responsibility in order to provide the very best in personal care, bathing, toileting, housekeeping, laundry, food preparation, table service and life-enriching activities to our residents. Here’s what some the families of some of our residents have had to say about our staff: “The Rosewood staff members are well-educated (and) seem to truly love both their work and the residents themselves. We were happy at how open Rosewood is to new ideas and how the staff immediately addressed any concerns.” “You can’t pay people for the loving care we received. That comes from the heart.” “Whenever we called to check on (our mother), the staff knew exactly how she was doing. They were knowledgeable, happy, caring and always patient. Clearly, they enjoyed their work and the ones they cared for.” “I would trust them again with any member of my family.” We offer a competitive salary and benefits package, flexible scheduling and a great environment to learn and grow. We also offer continuing education through a state-of-the-art online learning center and have an incentive program in place that rewards your professional caregiver development. If you think this sounds like the career for you, please fill out the application below. We hope to welcome you soon to the Rosewood family! Section I: Equal Employment Opportunity Employer Rosewood AFC of DeWitt is an equal opportunity employer. It is the policy of the organization not to discriminate on the basis of race sex, religion, national origin, marital status, age, weight, height, color disability or veteran status in the hiring promotion, compensation or discipline of employees. If you are a person with disability, you may request any needed reasonable accommodation to participate in the application process of interview process. Michigan law requires that a person with disability or handicap requiring accommodation for employment must notify the employer in writing within 182 days after the need is known. Section II: Applicant's Personal Information First Name* Middle Name* Last Name* Address Line 1* Address Line 2 (Optional) City* State* —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip* Home Phone Alternate/Cell* avail Your Email* Enter the last 4 digits of your Social Security* Are you 18 years of age or older?* YesNo Can you perform the duties of the job for which you are applying with or without accommodation?* YesNo If no, please explain. Do you have any relatives or a spouse employed by this organization?* YesNo If yes, please provide name(s). Name and address of a person to be notified in case of an emergency* Address* Home Phone Alternate/Cell* Have you been convicted of crime? (Answering yes to this inquiry will not automatically disqualify you.)* YesNo Are there any pending felony charges against you? (Answering yes to this inquiry will not automatically disqualify you.)* YesNo Have you ever worked for this organization in the past?* YesNo If so, did you work under different name?* YesNo If yes, is any additional information relative to a different name necessary to check your work record?* YesNo If yes, please please explain. If the position for which you applied requires you to drive while on duty, do you have a valid driver's license?* YesNo Section III: Availability and Interests in Work Have been given a job description for this job?* YesNo Are you interested in full-time or part-time work?* Full-timePart-time On which days are you available to work?* Mon - MorningAfternoonEveningUnavailable Tue - MorningAfternoonEveningUnavailable Wed - MorningAfternoonEveningUnavailable Thu - MorningAfternoonEveningUnavailable Fri - MorningAfternoonEveningUnavailable Sat - MorningAfternoonEveningUnavailable Sun - MorningAfternoonEveningUnavailable On what date are you available to start work (mm/dd/yyyy)?* Section IV: Education Please enter your High School information below (if applicable) High School Name Street City State —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Did you graduate? Please enter your College information below (if applicable) College Name Street City State —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Did you graduate? If yes, what degree(s) or certificate(s) did you obtain? Please enter your Business or Trade School information below (if applicable) Business School Name Street City State —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Did you graduate? If yes, what degree(s) or certificate(s) did you obtain?. Please enter your Professional School information below (if applicable) Professional School Name Street City State —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Did you graduate? If yes, what degree(s) or certificate(s) did you obtain? Please enter any other professional training information below. Section V: Employment History (Please start with present or most recent employer) Company Name* Telephone* Address* Employment Dates (mm/dd/yyyy)* Position Title* Enter the start date and the date you left* Supervisor* Hourly Pay - Start* Last* Reason for Leaving* Company Name* Telephone* Address* Employment Dates (mm/dd/yyyy)* Position Title* Enter the start date and the date you left* Supervisor* Hourly Pay - Start* Last* Reason for Leaving* Optional Company Name Telephone Address Employment Dates (mm/dd/yyyy) Position Title Enter the start date and the date you left* Supervisor Hourly Pay - Start Last Reason for Leaving May we contact your current supervisor or manager?* YesNo If no, why? If yes, who should we call? Names Supervisor Title Supervisor Phone Have any of your previous employers served persons funded through a community mental health (CMH) entity?* YesNo If yes, which CMH entities were involved? May we contact the employers and CMH entities that you listed above to determine whether you have ever had a recipient rights violation substantiated against you? Section VI: References Give the names of two (2) personal references from persons not related to you, whom you have known at least one (1) year. This section is required Name* Address* Phone* Years known* Name* Address* Phone* Years known* Give the names of two (2) professional references from supervisors, managers, administrators or executive directors for whom you have worked. This section is required. Name* Address* Phone* Years know* Name* Address* Phone* Years known* Section VII: Professional Licenses, Certifications and Credentials Do you have any of the following licenses or certifications?* Certified Nurse Aid* YesNo If yes, please indicate your license number. Nursing License* YesNo If yes, please indicate your license number. Other job-related licenses, certifications or credentials* YesNo If yes, please provide detail. Section VIII: Consent I hereby give you my permission to contact the above employers, references, and educational, licensing, credentialing and certification institutions to verify the items listed above. I hereby release Rosewood AFC of DeWitt and the above referenced organizations, reference persons and employers from all claims, liability and damages that may result from furnishing the information to you. I consent to releasing ny information relating to my job performance which is documented in my personnel file. In the prior employer or other organization is obligated to provide any written notice id me regarding the disclosure of Information to Rosewood AFC of DeWitt I hereby waive the obligation and expect no writer notice of disclosure of my personal information. I also understand that because of the nature of my job and licensing requirements, I hereby consent to the release of this application or portions of this application to representatives of the Department of human Services, Department of Community Health, local community mental health entities or other governmental agencies or private agencies for ell licensing or investigatory purposes and to verify information I have listed in this job application. I hereby release Rosewood AFC of DeWitt, the Department of Human Services, Department of Community health, local community mental health entities and other governmental agencies or private agencies from all claims, liability, and damages that may result from frosting the information to you. I further specifically waive written notice and agree to the divulging of any disciplinary reports, letters of reprimand or other disciplinary action by all prior employers, and hereby release any prior employers from all claims liability and damages that may result from tarnishing the information to you Applicant Signature. Today's date. I certify that all of the information provided on this application is true, complete and correct. I further understand and agree that any falsification misrepresentation or omission of fact on this application or in any interviews or pre-employment process are grounds ter disqualification for consideration for employment or termination of employment it the discovery is made after employment begins Applicant Signature. Today's date. Section IX: At-Will Status In consideration of my employment, I agree to conform to the policies, rules and regulations of Rosewood AFC of DWitt. I understand and agree that my employment and compensation are for no definite period and, may, regardless of the time and manner of ny wages or salary, be terminated at-will with or without cause and with or without notice at any time, at the sole discretion of Rosewood AFC of DeWitt or myself. Applicant Signature. Today's date. This application will be kept current for 12 months. You need to complete another application to be reconsidered after this date.
