Employment

Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or process should notify the Human Resoruces Director.  To apply for a job start by filling out the online form below or click on the PDF Printable of our Job Application and fill out by hand and send to us via mail:

Northland Lutheran Retirement Community, Inc.
831 Pine Beach Road
Marinette, WI 54143

or fax to us at (715) 732-5899

Click Here For Our Printable PDF ~ Job Application

Got Questions? Please call (715) 732-0155

Online Application For Employment

Please leave this field empty.

Position You Are Applying For:

Date:



Contact Information

Your First Name:

Your Last Name:

Street Address:

Apartment Number:

City:

State:

Zip:

Email Address:

Phone:

Best Time To Call:

May we contact you at work:

If we may contact you at work, please provide your work number:

If you are under 18, what is your age:

If you have ever applied for a job with us before, please provide the date(s):

If you have ever been employed with us, please provide the date(s):

Are you legally eligible for work in this country?

Date you are available for work?

Type of employment desired (Full-time, Part-Time, Temporary, Seasonal)?

Shift Desired (Days, Afternoons, Nights, Any)?

Are you able to meet the attendance requirements of the position?

Will you work overtime if required?

Will you work "extra" to fill for others if required?

Have you been convicted of a crime in the last seven (7) years?

If yes, please explain?

Please note: Conviction of a crime will not necessarily bar you from employment. Each instance an explanation will be considered in relation to the position for which you are applying.


IF YOU ARE APPLYING FOR A NURSING DEPARTMENT POSITION, COMPLETE ALL THE FOLLOWING THAT APPLY:

Registered Nurse: State License Number:

Licensed Practical Nurse: State & License Number:

Nursing Assistant: Are you on the Wisconsin Nursing Assistant Registry?


Employment History

Provide the following information for your past and current employers starting with the most recent. Explain any gaps in your employment in the Additional Comments area below.

Your Last or Present Employer's Name:

Phone:

Address include City, State, Zip:

Dates of Employment:

Starting Hourly Rate/Salary:

Ending Hourly Rate/Salary:

Job Title:

Describe the type of work you did & your duties:

Reason for Leaving:

Name of Supervisor:


Your Last or Present Employer's Name:

Phone:

Address include City, State, Zip:

Dates of Employment:

Starting Hourly Rate/Salary:

Ending Hourly Rate/Salary:

Job Title:

Describe the type of work you did & your duties:

Reason for Leaving:

Name of Supervisor:


Your Last or Present Employer's Name:

Phone:

Address include City, State, Zip:

Dates of Employment:

Starting Hourly Rate/Salary:

Ending Hourly Rate/Salary:

Job Title:

Describe the type of work you did & your duties:

Reason for Leaving:

Name of Supervisor:


Educational Background ~ Complete Only If Job Related

List the last three (3) schools attended, starting with most recent. List number of years completed. Indicate degree, diploma or certificate, if any indicate field of study.

School Name & Location:

# of Years Completed:

Field of Study:

Degree, Diploma, or Certificate:


School Name & Location:

# of Years Completed:

Field of Study:

Degree, Diploma, or Certificate:


School Name & Location:

# of Years Completed:

Field of Study:

Degree, Diploma, or Certificate:


Any Comments/Additional Information: List any additional information you would like us to consider. Please note special skills, licenses, certificates, or relevant volunteer experience that may relate to the job you are applying for.


In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, or any other protected group status.


APPLICANT MUST READ & DIGITALLY SIGN ~ DATE

I certify that I have read and understood all of this employment application. It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history. Whether same is of record or not, I release employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a drug test and a satisfactory criminal background check. I also certify that I am not excluded from participation in Federal health care programs and that am not subject to any threatened exclusion or other investigation by any state or Federal Government entity.

I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for not another reason

I agree to furnish such additional information and complete such examinations as may result in my rejection or termination of employment.

I also understand that the misrepresentation or omission of information or facts may result in my rejection or termination if employed.

If hired, I agree to abide by all the rules and policies of the employer.

This certifies that this application was completed by me, and all entries on it and information in it are true and complete to the best of my knowledge.

Type your Full Name as a Digital Signature:

Date:

Jobs ~ Apply Online Today!

Northland Lutheran Community


715-732-0155 (Phone)

715-732-5899 (Fax)

info@northlandlutheran.org

831 Pine Beach Road
Marinette, Wisconsin 54143

Need More Info?



Please leave this field empty.


© 2017 Northland Lutheran Community. All Rights Reserved.
Website Design & Hosting: Fox Valley Web Design TM