Employment Application Form

We are continuously looking for individuals who are dedicated to caring for residents with respect and dignity. The R&B team has a special connection with our residents, and your enthusiasm, professionalism and expertise are integral to the lifestyle we provide.

If you are interested in joining our passionate team, please fill out the form below in full detail.

PERSONAL INFORMATION

First Name:

Middle Name:

Last Name:

Email:

Subject:

Message:

The above field is an optional opportunity for you to provide general information about yourself that you feel is relevant for employment. Note: You will be required to provide special skills and qualifications later in this application form.

Street Address:

Apartment/Unit #:

City:

State:

Zip Code:

Primary Phone #:

Secondary Phone #:

POSITION INFORMATION

Position of Interest:

Employment Status:

Full Time
Part Time
PRN

Desired Shift:

Day
Evening
Any

Desired Salary:

Date Available To Begin Work:

Are you a legal resident of the United States?

Yes
No

Note: If offered employment you will be required to provide documentation of eligibility.

Have you ever been employed with us before?

Yes
No

If yes (to above question), give dates of employment, position held and reason for leaving.

Skills and Qualifications:

In the box above, summarize special skills and qualifications from employment, volunteering or other experiences that may qualify you to work for our Company. Include what differentiates you from others who may apply for the position.

EDUCATIONAL BACKGROUND

List the last three schools attended, starting with the most recent.

School 1:

Number of Years Completed (School 1):

Did you graduate (School 1)?:

Yes
No

Type of Degree/Diploma (School 1):

Your Major (School 1):

School 2:

Number of Years Completed (School 2):

Did you graduate (School 2)?:

Yes
No

Type of Degree/Diploma (School 2):

Your Major (School 2):

School 3:

Number of Years Completed (School 3):

Did you graduate (School 3):

Yes
No

Type of Degree/Diploma (School 3):

Your Major (School 3):

EMPLOYMENT HISTORY

PLEASE GIVE ACCURATE, COMPLETE FULL-TIME AND PART-TIME EMPLOYMENT RECORD. START WITH YOUR PRESENT OR MOST RECENT EMPLOYER.

Company 1:

Phone (Company 1):

Address (Company 1):

Supervisor (Company 1):

Your Job Title (Company 1):

Annual Salary/Pay Rate (Company 1):

Date Started/Date Left (Company 1):

Reason for Leaving (Company 1):

Company 2:

Phone (Company 2):

Address (Company 2):

Supervisor (Company 2):

Your Job Title (Company 2):

Annual Salary/Pay Rate (Company 2):

Date Started/Date Left (Company 2):

Reason for Leaving (Company 2):

Company 3:

Phone (Company 3):

Address (Company 3):

Supervisor (Company 3):

Your Job Title (Company 3):

Annual Salary/Pay Rate (Company 3):

Date Started/Date Left (Company 3):

Reason for Leaving (Company 3):

Company 4:

Phone (Company 4):

Address (Company 4):

Supervisor (Company 4):

Your Job Title (Company 4):