Careers

Do you have a special gift caring for residents with Alzheimer's and dementia? Are you ready to be appreciated and rescued from the challenges of working for a large corporately owned facility? Then SeniorCare Homes may be your answer!

Please complete the application below so that we may contact you to schedule an interview

If you prefer, you may download the application and fax it to 913.432.3055. Please also e-mail us to let us know that you've faxed it.

Download job application (pdf)

Personal Information

First Name	Last Name
Street Adress
City	State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY	Zip Code
Phone Number	Email
Referred By:

Employment Desired

Position

Date you can start

Are you currently employed?	Yes No
May we contact your current employer?	Yes No

Education

High School	Name & location of school			Years completed
	Did you graduate?		Subjects Studied
College	Name & location of school			Years completed
	Did you graduate?		Subjects Studied
Other	Name & location of school			Years completed
	Did you graduate?		Subjects Studied

Employment History

1.	Dates From/To		Company and City
	Position			Salary
2.	Dates From/To		Company and City
	Position			Salary
3.	Dates From/To		Company and City
	Position			Salary
4.	Dates From/To		Company and City
	Position			Salary

Certifications

Please check the areas below in which you are certified and note the dates of expiration.

CNA			CMA
CPR			First Aid

References

List below the names of 3 persons who have been your immediate supervisors in past employment. If there are not 3, list someone not related to you whom you have known for at least one year.

1.	Name & relationship			Telephone number
	Business		Years Known
2.	Name & relationship			Telephone number
	Business		Years Known
3.	Name & relationship			Telephone number
	Business		Years Known

Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed; falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

Yes