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Sunset Home
114 College Avenue
Waterville, Maine 04901

APPLICATION FOR EMPLOYMENT

Sunset Home is an equal opportunity employer and accepts applications for employment regardless of sex, age, race, national origin, color, religion, creed, sexual orientation, military status, workers compensation history, whistleblower or disability; physical or mental.
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Personal Information

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Mailing Address
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Physical Address
(if different from mailing address)
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EMPLOYMENT DESIRED

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EDUCATION

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WORK HISTORY

Please list below your work experience, starting with your present or most recent employer
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APPLICANT’S STATEMENT

By submitting this application you acknowledge and agree to the following. Should you be asked to come in for an interview, you will be required to sign a print out of this document.

I understand that any employment by Sunset Home will be on a 90-day probationary period. If employed by Sunset Home, I agree to comply with the Home’s policies, procedures, rules and regulations. The above information is complete and true to the best of my knowledge. I understand discovery of misrepresentation or omission of facts herein will be cause for immediate dismissal. I authorize Sunset Home to contact the three (3) references, which I have provided and signed a release form. I agree to take a physical examination at any time, at the request of Sunset Home, and agree that the examining physician may disclose the findings/results to Sunset Home.

 

 

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PRINT FULL NAME

 

 

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APPLICANT’S SIGNATURE

 

 

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DATE

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