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    Application for employment
    ​Equal Opportunity Employer


    Personal Information


    Employment desired


    Education History

    High School:
    ​Trade School / College:
    Trade School / College
    Trade School / College:

    General Information:

    Former Employers:

    References:

    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.
    I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized  company representative.

    This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA)  or other relevant federal and state laws.
    I understand that a consumer credit report and/or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment.
    In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required  employment eligibility  verification document  form upon hire.
    Typing your name below constitutes your signature. Submitting this form constitutes your agreement to the above information.

Submit

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Sisters of St. Francis
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P.O. Box 100
22143 Main Street,
​Oldenburg, IN 47036


812.934.2475