The Vistas Assisted Living
Taking care of those who took care of us

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Creating environments where moments of joy,
independence and wellness are the focus each and every day

The Vistas Employment Application


Name:

Address:

Home Phone:

Mobile Phone:

Email:
 

Position Applied for:

Position Type:
 

Have you been convicted of or plead guilty to a crime (misdemeanor or felony) other than a minor traffic violation?

  

Are you legally authorized to work in the USA?

  

Describe Educational Background:

Work Experience:

Present/most recent employer:

Address:

Telephone #:

Position:

Ending Salary:

Start Date:

End Date:

Supervisor's Name:

Reason for leaving:

May we contact this employer?
 

Previous employer:

Address:

Telephone #:

Position:

Ending Salary:

Start Date:

End Date:

Supervisor's Name:

Reason for leaving:

May we contact this employer?
 

Previous employer:

Address:

Telephone #:

Position:

Ending Salary:

Start Date:

End Date:

Supervisor's Name:

Reason for leaving:

May we contact this employer?

References:

Name:

Relationship:

Telephone:
 

Name:

Relationship:

Telephone:
 

Name:

Relationship:

Telephone:
 

Please describe any professional affiliations or accreditations that have a direct bearing upon your qualifications for the job for which you are applying. Include all licenses and certifications:
 

Have you ever had a professional license or certification suspended, revoked, or restricted?

  

If yes, please explain:

Describe any special skills or abilities that directly relate to the job for which you are applying:

Describe any experience working with the elderly:

Why would you like to join our team at The Vistas Assisted Living & Memory Care Community?

The Vistas Assisted Living & Memory Care Community
530-222-8969 • 3030 Heritagetown Dr., Redding, California 96002

RCFE license #455002049
Copyright 2008. Ridgeline Management Company. All rights reserved.