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Thank you for your interest in employment at Atlas Senior Living. If you are committed to resident satisfaction, to improving the lives of seniors, and to honoring the value of seniors, we would love to have you join our team. Please complete an application and we’ll be in touch if and when we have openings.

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Job Interest *

Location of Interest *

Home Office, Birmingham, AL
Lake Howard Heights, Winter Haven, FL
Legacy at Savannah Quarters, Pooler, GA
Legacy Reserve at Fairview Park, Simpsonville, SC
Legacy Reserve at Fritz Farm, Lexington, KY
Legacy Reserve at Old Town, Columbus, GA
Legacy Ridge at Alpharetta, GA
Legacy Ridge at Brookstone, Kennesaw, GA
Legacy Ridge at Buckhead, GA
Legacy Ridge at Marietta, GA
Legacy Ridge at Peachtree, Peachtree City, GA
Legacy Ridge at Sandy Plains, Marietta, GA
Legacy Ridge at Trussville, AL
Madison at Clermont, FL
Madison at Ocoee, FL
Madison at Oviedo, FL
Madison at The Range, Madison, AL
Madison Heights & Kelley Place, Enterprise, AL
Madison Heights at The Prado, Macon, GA
Madison Heights Evans, GA
Oakview Park Greenville, SC
Spring Park Travelers Rest, SC
The Atrium at Boca Raton, FL
The Canopy at Beacon Woods, FL
The Canopy at Westridge, GA
The Goldton at Adelaide, Starkville, MS
The Goldton at Athens, AL
The Goldton at Southaven, MS
The Goldton at Spring Hill, TN
The Goldton at St. Petersburg, FL
The Goldton at Venice, Venice, FL
The Oscar at Georgetown, Georgetown, TX
The Oscar at Veramendi, New Braunfels, TX
Wildcat Senior Living, Summerville, SC

Your Name *

First

Last

Your Email *

I prefer to be contacted: *

Emergency Contact Name and Number

Are you over 18 years of age? *

Yes
No

If yes, can you provide proof of employment eligibility?

Yes
No

If hired, are you able to furnish proof that you are legally qualified to work in the United States? *

Yes
No

Do you have a valid driver's license? *

Yes
No

To comply with the Immigration Reform and Control Act of 1986, if you are hired you will be required to provide documents to establish your identity and your authorization to be employed in the United States. Such documents will be required within the first three business days following your hire, or upon your first work day if your employment period will be less than three days.

If yes, license number/issuing state:

How did you find out about this employment opportunity?

Type of employment desired: *

Fulltime (32 hrs/week or more)
Part-time (less than 32 hrs/week)

What shifts are you available? Are there days or times when you are unable to work or prefer to not work? How many hours would you like to work per week? Please explain. *

Are you able to perform the functions of this job, with or without reasonable accommodation? *

Yes
No

Have you ever been convicted of a crime? *

Yes
No

If yes, please explain.

Are you currently awaiting trial or sentencing for any criminal offense, or have you ever initiated an act of violence in the workplace? *

Yes
No

If yes, please explain.

High School/GED (Name and Location): *

Number of years completed: *

Did you graduate? *

Yes
No

College/University (Name and Location):

Degree/Major:

Number of years completed:

Did you graduate?

Yes
No

Additional Education or Other (Name and Location):

Degree/Major:

Number of years completed:

Did you graduate?

Yes
No

Highest degree earned:

High School/GED
Associate
Bachelor
Master
Doctorate

Professional Licensures/Certifications

Enter License Type, Issuing State, License Number and Expiration Date.

Skills & Qualifications

Please list unique job-related skills and qualifications acquired from current/previous employment or other experiences.

May we contact your current employer prior to an offer of employment? *

Yes
No

Employer Name: *

City/State:

Supervisor's Name:

Supervisor's Title:

Starting Salary:

Ending Salary:

Your Position and Job Responsibilities:

Reason for Leaving:

Current Employer

This is my current employer

Employer Name:

City/State:

Supervisor's Name:

Supervisor's Title:

Starting Salary:

Ending Salary:

Your Position and Job Responsibilities:

Reason for Leaving:

Employer Name:

City/State:

Supervisor's Name:

Supervisor's Title:

Starting Salary:

Ending Salary:

Your Position and Job Responsibilities:

Reason for Leaving:

Name *

Relationship *

How do you know this person and how long have you known this person? *

I have read and understand the above disclosure *

Yes

Applicant Name *

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