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Country Comfort Alternative Living, Inc.

Country Comfort Alternative Living, Inc.

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Job Application

EQUAL OPPORTUNITY EMPLOYER.

Country Comfort Alternative Living, Inc. is an Equal Opportunity Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age marital or veteran status or the presence of a non-job-related medical condition or handicap. Reasonable accommodation will be provided to handicapped employees (front entrance and all bathrooms are wheelchair accessible, building is on one floor).

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Your Personal Information

Your Name
Address
Have you lived outside of Pennsylvania in the past 2 years?
Your Email Address
In case of emergency, notify:
Have you filed an application with this company before?
Have you ever been employed with this company before?
Are you currently employed?
If yes, may we contact your current employer?

Legal Concerns

If under age 18, can you provide a work permit?
Legal (check all that apply):
Have you been convicted of a felony within the last 7 years?
Conviction will not necessarily disqualify applicant from employment.

Job Specifications

Schedule Preferences (Select all that apply.)
Are you on lay-off and subject to recall?
Are you licensed to operate a motor vehicle?
Is there any reason you may be unable to perform this job?
Do you understand the job which you are applying for will require lifting and bending?
Provisional Employment
I hereby swear and affirm that a criminal history background clearance has been requested of the Pennsylvania State Police (PA State Police for in state residents, or the FBI for out of state residents, or less than two years PA residency), and that I have never been convicted of a crime that would prohibit my employment at Country Comfort Alternative Living, Inc. I understand that my employment is provisional and continued employment is based upon information to be received from the criminal justice agency. If the clearance request indicates conviction for crimes that prohibit my employment under Act 13, I understand that my employment must be terminated in compliance with state law.

Education

Type School Diploma or Degree Course of Study Actions
       
There are no Entries.

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References

Name Phone Email Actions
     
There are no Entries.

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Employment Experience

Start with your present or last job. Include military service assignments and volunteer activities. (You may exclude organization names that would reveal sex, race, religion, national origin, age, ancestry, disability or other protected status.)
Employer Phone Job Title Supervisor Actions
       
There are no Entries.

Maximum number of entries reached.

May we contact any of your former employer(s)?

Additional Qualifications

Are you certified in CPR?
CPR Expiration
Are you certified in First Aid?
First Aid Expiration
Summarize special skills and qualifications acquired from employment experience or education.
Certification
By checking the box below, I agree and certify that answers given herein are true and complete to the best of my knowledge. In the event of employment, I understand that false information given in my application may result in discharge. I also understand that I am required to abide by all rules and regulations of Country Comfort Alternative Living, Inc.

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Country Comfort Alternative Living, Inc.
10546 River Road
New Columbia, PA  17856

PHONE: 570-568-1090
FAX: 570-568-1095

ADMINISTRATOR: Rose Handy
ADMINISTRATIVE ASSISTANT: Jaime Bartlett

Copyright © 2022 · Country Comfort Alternative Living, Inc.
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