Application for Employment

Thank you for your interest in The Community at Holy Family Manor, Inc. as a potential employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected class.


Please click here to download an employment application. You may email or fax applications and/or resumes to the attention of Kim Carter at KCarter@chfmanor.org. You may also mail the completed form to: 301 Nazareth Way, Pittsburgh, PA 15229 Atten: Human Resources

For questions Or inquiries, you may also reach Kim Carter at 412-931-6996 ext. 6514.


APPLICANT INFORMATION















Yes No

Yes No

Yes No


Yes No


Yes No



Yes No I'm 18 or older.

Yes No
Full Time   Part Time   Occasional
7-3:30   3-11:30   11-7:30
EDUCATION


Yes   No


Yes   No


Yes   No
Yes No
ADDITIONAL INFORMATION

REFERENCES
Please list three work-related references that are not related to you.
PREVIOUS EMPLOYMENT (start with your present Or last job)
Yes   No

Yes   No

Yes   No

DISCLAIMER and SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application (or its supplements) for employment as may be necessary in arriving at a decision. In exchange for The Community at Holy Family Manor, Inc.'s agreement to receive, process, and consider my application for employment, I hereby release The Community at Holy Family Manor, Inc. and any all persons or organizations contacted by The Community at Holy Family Manor, Inc. from any and all claims or causes of action arising out of The Community at Holy Family Manor, Inc.'s verification of the information I have provided in this application and/or its determination of my qualifications and abilities.

This application will be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time should inquire as to whether or not applications are still being accepted at that time. I hereby understand and acknowledge that any employment relationship with this organization is of an "at-will" nature, which means that the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at-will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application (of supplements to it) or interview(s) may result in discharge. If employed by The Community at Holy Family Manor, Inc., I agree to abide by its policies and procedures. I agree to take a post offer medical examination and drug screen. I understand that The Community at Holy Family Manor, Inc. will obtain a report of criminal history information from the Pennsylvania State Police, and a Pennsylvania Child Abuse History Clearance. In some cases, a Federal Bureau of Investigation Report, A D.M.V. Report and a credit check will be required in accordance with requirements of the Pennsylvania Older Adults Protective services Act. I agree to provide the necessary information for these reports.

Type your full name in the signature blank below. By entering your initials, you are expressing the information contained within this application is truthful and accurate.
PRE-EMPLOYMENT DRUG TESTING POLICY

The Community at Holy Family Manor, Inc. is committed to providing a safe, healthy, productive and drug-free workplace.

All applicants for employment who receive a conditional offer of employment must submit to a drug screen to be performed by a certified la selected by The Community at Holy Family Manor, Inc. The cost of this examination will be borne by The Community at Holy Family Manor, Inc. The result of the pre-employment drug screen may be cause for rejection of an applicant.

I have read and understand the above policy and agree to submit to a drug test.

Type your full name in the signature blank below. By entering your initials, you are acknowledging the above pre-employment drug testing policy.