Sioux Falls Retirement Home Living

SIOUX FALLS, SD 57104

605.336.1490

1321 W DOW RUMMEL ST

EDUCATION - HIGH SCHOOL

EMPLOYMENT HISTORY

REFERENCES

EDUCATION - COLLEGE

EDUCATION - OTHER SPECIALIZED TRAINING OR LICENSE

ACKNOWLEDGEMENT
Please Read Before Signing:

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Dow Rummel Village that such employment with Dow Rummel Village is at will, for no specified duration and may be terminated by either Dow Rummel Village or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of Dow Rummel Village or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of Dow Rummel Village except the CEO has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the CEO of Dow Rummel Village.

In consideration for employment with Dow Rummel Village, if employed, I agree to conform to the rules, regulations, policies and procedures of Dow Rummel Village at all times and understand that such obedience is a condition of employment. I understand that due to the nature of Dow Rummel Village business, attendance and punctuality are considered essential requirements of every job at Dow Rummel Village and that poor attendance or tardiness will result in disciplinary action.

I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.

I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Dow Rummel Village and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

If I am extended an employment offer I do hereby consent to allow Dow Rummel Village and testing laboratories to perform a chemical screening procedure on me for the presence of drugs or other psychoactive, chemical substances. I give my permission to release the results of this test to Dow Rummel Village. I understand that my final employment is contingent on successful meeting standards set by Dow Rummel Village.

The undersigned in connection with this application authorizes all corporations, companies, credit agencies, educational institutions, persons, law enforcement agencies, military services and former employers to release information they may have about me to Dow Rummel Village or its agents and releases them from any liability or responsibility from doing so. Further, I authorize the procurement of an investigative consumer report and understand that such a report may contain information about my background, character and personal reputation. I understand that this notice will also apply to any future update reports that may be requested.By signing below I acknowledge that I have read, understood and agree to the above statements. 

APPLICATION FOR AT WILL EMPLOYMENT

(An Equal Opportunity Employer)
Applicants are considered without regards to race, color, religion, sex, national origin, age, disability or any other prohibited basis of discrimination as provided under applicable state and federal laws.