Employment Application

Employment Form






I certify that all statements made in this application (and accompanying resume, if applicable) are true and accurate to the best of my knowledge and that I have not knowingly omitted any relevant material. I understand that any material omission or misrepresentation will result in my disqualification from consideration for employment or, if discovered after I begin employment with Eastern Star Masonic Home may result in my termination.

I hereby authorize release of information for purposes of this application. I hereby authorize Eastern Star Masonic Home to contact the references listed as well as the current/former employers listed and discuss my professional and/or work-related qualifications, my character and fitness for the position for which I am applying. I hereby authorize persons, schools, my current employer (if applicable) and previous employers or other organizations to provide this facility and its affiliates with any requested information regarding my application or suitability for employment. I completely release all such persons or entities from any and all liability related to the providing or use of such information.

I understand that a comprehensive background check will be conducted to determine my eligibility for hire. This may include, but is not limited to, criminal records check, child abuse/dependent abuse registry check, and sex offender registry. I also understand that a physical examination may be required for certain positions. I consent to take the physical examination, and such future physical examinations as may be required by this institution at such times and places as the institution shall designate. I understand that an offer of employment may be contingent on passing the physical examination which relates to the essential duties I would be required to perform.

I hereby release Eastern Star Masonic Home and other persons or entities from any claims or liability that may arises or based on the decision to conduct a reference and/or background check.

I understand that, if hired, my employment is considered to be at will and can be terminated by either party at any time with or without cause. Eastern Star Masonic Home reserves the right to terminate without any notice. I understand that this application and any other handbook or documents which I may receive does not constitute a contract of employment with Eastern Star Masonic Home. I acknowledge that any offer of employment is conditional and may be withdrawn at any time.

If employed, I will be required to complete an Employment Verification Form (I-9), and within three days show satisfactory evidence of identity and eligibility for employment.