As an Equal Opportunity Employer, Royal Oaks prohibits discrimination in employment on the basis of race, color, religion, national origin, gender, disability or age.
Royal Oaks, A Lifecare Community
10015 Royal Oak Road, Sun City, AZ 85351
 

The field descriptions in Green text are required.
First Name: Last Name:
Address:
City: State:
Zip: Phone:
E-mail:
Position Seeking:
If Other:
 
Employment History
Please list chronologically, beginning with most recent experience.
Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Salary:
Type of Work:
Reason for Leaving:
 
Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Salary:
Type of Work:
Reason for Leaving:
 
Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Salary:
Type of Work:
Reason for Leaving:
 
Education
Name & Location of School Last Year Completed Major Course of Study Diploma/Degree
Elementary
High School
College/University
Vocational / Technical
Military Traning
 
Personal Information
We are a Drug-Free Workplace. Pre-Employment Drug Testing is a Requirement.
Have you ever been employed by Royal Oaks Lifecare Community? Yes No
Are you a citizen or lawful resident of the United States entitled to accept employment in this country?
(If hired, you will be required to provide proof of work authorization.) 		Yes No
Are you able to meet the attendance requirements of the position: Yes No
Briefly describe skills you may have that you acquired in other employment or armed forces:
Have you ever been convicted of a crime (felony)?: Yes No
If yes, give details:
 (Convictions are not automatic bar to employment)
If you are experienced operator of any office machines or equipment, please list:
How many days of work did you miss in the last 12 months
Are you presently employed?: Yes No
If so, may we contact your present employer?: Yes No
If hired, when would you be available?:
 
Employment References
List individuals familiar with your job qualifications (No relatives or personal friends).
1) Name of Reference: 2) Name of Reference:
Occupation: Occupation:
Address: Address:
City/State/Zip: City/State/Zip:
Phone: Phone:
Relationship: Relationship:
How long known: How long known:
 
Invitation to Identify for Affirmative Action Purposes
Edstrom Industries, Inc., is committed to the employment and advancement of minorities, females, and individuals with disabilities and veterans. If you fall into one of these protected classifications, we invite you to identify yourself and receive coverage under our company's Affirmative Action Plan. You may inform us of your desire to benefit under the program at this time and/or any time in the future.
Gender: Male Female
Indicate The Appropriate Race/Ethnic Group:
How Were You Referred To This Job:
 
Please read carefully before submitting your application
All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with me or my employment background for the purpose of verifying any information, I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about me or my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment. I understand that upon receiving a job offer, a physical examination and drug screening may be required. (Note: If this is a job requirement, you will be notified.)

Regardless of whether or not I become employed by the company, I recognize that this application is not and should not be considered a contract of employment. I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the company's unless specifically provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other that an officer or official of the company, and then only by means of a signed written document. We have a policy of no smoking on the premises.

 Check this box to certify that you have read and accept the above statement.