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Employment at Royal Oaks
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Name:
Last:
First:
Middle:
Address:
Street:
Apt:
City:
State:
Zip Code:
Telephone:
Mobile Phone:
Email:
Position Seeking:
F/T P/T PRN Days PM Nights Any
Department:
Salary Range:
Target Start Date:
Have you ever been employed by Royal Oaks Lifecare Community?
Are you a citizen or lawful resident of the United States entitled to accept employment in this country?
(The sole purpose of this question is to ensure compliance with laws governing authorized employment in the United States.)
Are you able to meet the attendence requirements of the position?
Do you currently have a pending charge, or have you ever been convicted of any violations of the law?
(Do not include minor traffic violations.)
If yes, please explain:
Convictions will not necessarily be a bar to employment. Each instance and explanation will be considered in relation to the postion.
Have you ever been terminated from a job or resigned from a job as an alternative to termination?
How many days of work did you miss in the last 12 months for any reason?
Is there any essential aspect of the job for which you are applying that you are unable to perform?
If yes, please explain:
Driver's license number if driving is an essential job function:
State:
How did you hear about Royal Oaks?
Further your answer here:
Employment History:
Start with most recent and work back. Please include any military service. List and explain and periods of unemployment.
Dates of Employment:    From
To
Name of Employer:
Telephone:
Address:
City:
State:
Supervisor's Name:
Rate of Pay:
Hourly Salary
Position:
Previous Position:
Briefly describe duties:
Reason(s) for leaving:
Dates of Employment:    From
To
Name of Employer:
Telephone:
Address:
City:
State:
Supervisor's Name:
Rate of Pay:
Hourly Salary
Position:
Previous Position:
Briefly describe duties:
Reason(s) for leaving:
Dates of Employment:    From
To
Name of Employer:
Telephone:
Address:
City:
State:
Supervisor's Name:
Rate of Pay:
Hourly Salary
Position:
Previous Position:
Briefly describe duties:
Reason(s) for leaving:
Education
Please indicate any educations, vocational, military, or any other training you have received which will asssist us in assessing your qualifications to work in the position for which you are applying.
School
Name and Location of School
Major Course of Study
Did you graduate?
No. of years completed
Type of Degree, Diploma or Certification
Elementary
High School
College
Vocational / Technical
Millitary
Training
References
Please list individuals, not related to you, whom you have known for at least one year, and whom we may contact as additional references.
Name:
Telephone:
Address:
City:
State:
Zip:
How long have you known this person?
Is this a personal or business reference?
Name:
Telephone:
Address:
City:
State:
Zip:
How long have you known this person?
Is this a personal or business reference?
Name:
Telephone:
Address:
City:
State:
Zip:
How long have you known this person?
Is this a personal or business reference?
Mission Statement
The mission of Royal Oaks is to provide the facilities and services which will promote the highest degree of comfort, security, independence and life satisfaction for our residents. Royal Oaks is committed to the belief that the retirement years can be the most fulfillinf years of life, and all programs and supportive services are dedicatd to this end.
Core Values of Royal Oaks
Make every effort to do each job function right!
Quality
If you see a problem, tell people who ought to know.
Try to help solve problems
Look for ways to do your job better.
Be honest with others.
Integrity
Report to work on time and do not waste work hours.
Report your mistakes; you will get help and build trust.
Support the mission of Royal Oaks.
Treat everybody with dignity and respect.
Fairness
Promote cooperation and teamwork with fellow workers.
Work and behave in ways that show friendliness and respect.
Support Royal Oaks policies and procedutres.
Be prompt and do your part well.
Customer Service
Always be polite in what you say and the way you say it.
Be kind and caring in dealing with other people.
Help keep the workplace clean and well-organized.
Offer assistance when needed by fellow workers or residents.

PLEASE READ CAREFULLY BEFORE SIGNING BELOW
I certify that the facts contained in this application (including any resume or other materials submitted by or for me) or statements made during any interviews are true, correct and complete to the best of my knowledge. I authorize investigation of all statements contained herein and also authorize my present and former employers, and any references listed, to give Royal Oaks Lifecare Community any and all information concerning my previous employment, educational background, criminal convictions, credit history, as well as my other pertinent information, personal or otherwise. I authorize Royal Oaks Lifecare Community to make an investigative consumer report whereby information is obtained through personal interviews with neighbors, friends or others with whom I am acquainted. This inquiry, if made, may include information about my prior employment, military records, education, character, general reputation, personal characteristics, criminal records and mode of living. I understand that I have the right to make a written request to Royal Oaks Lifecare Community within a reasonable period of time to receive additional detailed information about the nature and scope of any such investigative consumer report that is made. If I am denied employment wholly or partly because of information contained in a credit report from a consumer reporting agency, Royal Oaks Lifecare Community will advise me and supply me with the name and address of the consumer reporting agency. In consideration for Royal Oaks Lifecare Community review of my application, I hereby release all parties from any and all liability for damage that may result from furnishing and receiving this information. I agree to immediately notify Royal Oaks Lifecare Community if I should be convicted of a felony, or any crime involving dishonesty, controlled substances, sexual misconduct or violence, while my job application is pending or, if I am hired, during my period of employment.

I agree to submit to a drug and alcohol screening process as a prerequisite to employment and if requested or if required, at any time during my employment as a condition of continued employment. Additionally, upon acceptance of employment, I agree to submit to a physical examination. I understand that such examinations will be conducted only where they would be similarly required for all individuals under like circumstances, and that all such physical examination results will be kept confidential. With respect to both the drug and alcohol screening process and physical examination, I hereby hold Royal Oaks Lifecare Community harmless from any and all possible liability arising therein from.

I understand and agree that, if hired, I will conform to the policies, rules, regulations and procedures of Royal Oaks Lifecare Community and that my employment is for no definite period and may, regardless of the date of payment of my wages or salary, be terminated by Royal Oaks Lifecare Community or by me at any time for any reason, or none, with or without prior notice. I further understand that this “at will” employment relationship cannot be changed by any written document or by conduct, or if such change is specifically acknowledged in writing by the Chief Executive Officer of Royal Oaks Lifecare Community. I also understand that completing this application does not indicate that there is a current job opening and does not obligate Royal Oaks Lifecare Community to hire me, and that nothing contained in this application or said to me during this employment process constitutes a guarantee of employment for any definite period of time. Furthermore, none of the employment manuals or handbooks that may be distributed to me during the course of my employment shall be construed as a contract.

Finally, I understand that during the course of my employment with Royal Oaks Lifecare Community, I may learn or develop certain confidential or proprietary business information, including, but not limited to, plans, procedures, methods, designs, logos, slogans, financial information, computer-based applications and schema, recipes, trade secrets and similar information. I hereby acknowledge and recognize Royal Oaks Lifecare Community as the exclusive owner of such confidential business information and I agree that I will not at any time disclose such information to persons not employed by Royal Oaks Lifecare Community, unless I have the prior written consent of the Chief Executive Officer of Royal Oaks Lifecare Community.

By entering your name in this box, you confirm all information is true and correct.

25 years of celebrating life
Nadona LTC Equal Housing Opportunity AAHSA AzAHA
10015 W. Royal Oak Road • Sun City, AZ 85351
Phone: (623) 933-2807
Owned and Operated by People of Faith, Inc. — A Non-profit Corporation
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