Careers
Equal Employment Opportunities

If you are hired you will be required, within three days, to show proof of identity and authorization for employment in the United States. You will also be required to sign an I-9 Form, verifying, under oath, your employment authorization.

EMPLOYMENT RECORD

Starting with your most recent job; list all previous employers, including self-employment, summer and part-time jobs.

Education & Skills

ACKNOWLEDGEMENT

PLEASE READ BEFORE SIGNING If you have any questions regarding this statement, please ask our employment interviewer before signing. It is my understanding that Monsignor Bojnowski Manor will make a thorough investigation which will include a verification of my entire work history, and the verification of all data given in this application. I authorize such an investigation and the giving and receiving of any information by the Manor. I am aware that I have a right to make a written request as to the nature and scope of this investigation. I release from liability any person giving or receiving such information. In the event of my employment by Monsignor Bojnowski Manor, I will comply with all rules and regulations as set forth in the Manor’s policy manual or the communication distributed by the Manor to all employees. I understand that if I am hired, my employment with the Manor will be "at will" and may be terminated by the Manor or me at any time for any reason or for no reason. I understand that no documents or statements of the Manor will constitute a contract or employment that in any way limits the Manor’s rights to terminate my employment “at will.” I further understand that the “at will” nature of my employment cannot be changed except by a formal written contract signed by the Administrator of the Manor. I certify that there are no misrepresentations, omissions, or falsifications in the foregoing statements and answers, and that the responses given are true, complete and accurate to the best of my knowledge and are made in good faith. Without limiting the “at will” status of my employment if I am hired, I understand that if any of the statements on this application are untrue my employment will be terminated immediately. I understand that Federal law prohibits the Manor from hiring or retaining an employee who has been found guilty of patient abuse, neglect, or mistreatment by a court of law or who has had an adverse finding entered against him/her in the nurse’s aide registry. If it is discovered, subsequent to hire, that I have been untruthful about my history of patient abuse, neglect, or mistreatment, I will be subject to immediate discharge. I authorize all the educators, agencies and employers listed in this application to furnish the Manor with information regarding my education, employment history, or any other matter related to my application for employment with the Manor. I understand that this is an application for employment, and that no employment contract is being offered. I further understand that if employed, such employment is for no definite period of time and the Manor can change wages, benefits, and conditions of employment at any time.

PRE-EMPLOYMENT PHYSICAL EXAMINATION & DRUG TESTING RELEASE FORM

In order to ensure the safety and well being of all our employees, we have devised a physical examination that helps to ensure that all potential employees are physically capable of handling the type of work that he/she may be required to perform. Included in this physical examination are tests for substance.

do hereby consent to undergo a drug/alcohol test, as required by Monsignor Bojnowski Manor, (employer). Further, I authorize the hospital, clinic and/or testing facility to release to Monsignor Bojnowski Manor, (employer) the results of such test and I release the hospital, clinic, and/or testing facility, its doctors, and medical personnel from liability from any release or use of this information. Further, I release Monsignor Bojnowski Manor, its officers, directors, employees and agents, in both their individual and representative capacities, from any liability in connection with the physical examination and related tests. Please indicate, by your signature below, that you have read this form and are aware of that the testing procedures are for.