Application for Employment

We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, sexual orientation, citizenship status, genetic information or any other legally protected status

Position(s) applied for
Date of Application
How Did You Learn About Us?
AdvertisementRelativeInquiryEmployment AgencyFriendOther
Last Name
First Name
Middle Name
Street Address
City
State
Zip Code
Phone Number
Email
Social Security Number (Voluntary)
Best time to contact you at home is
Have you ever filed an application with us before?
YesNo
If Yes, give date
Have you ever been employed with us before?
YesNo
If Yes, give date
Do any of your friends or relatives, other than spouse, work here?
YesNo
Are you currently employed?
YesNo
May we contact your present employer?
YesNo
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment.)
YesNo
Date Available for work
What is your desired salary range?
Are you available to work
Full-TimePart-TimeTemporary
If full-time, 1st, 2nd, or 3rd shift?
First ShiftSecond ShiftThird Shift
If part-time, Morning, Afternoon, or Evening?
MorningAfternoonEvening
If temporary, please indicate dates available
Are you currently on "lay-off" status and subject to recall?
YesNo
Can you travel if a job requies it?
YesNo

Applicant's Statement

I certify that answers given herin are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at this time.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

By checking this box I confirm that I agree to all of the statements above.

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Applicant Signature (Full Name)
Text Label

Come visit us today!

The Simon & Sylvia Zisman Seashore Gardens Living Center is an independent, nonprofit home for the aged with over 100 years of service. Back in 1916 we started as a little house in Atlantic City, New Jersey. We’ve grown in services and location. Today we are on a 20 acre campus in Atlantic County, New Jersey. Come visit us today.

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