Employee Application

EVENGLOW LODGE POLICIES ON EMPLOYMENT

STATEMENT ON EQUAL EMPLOYMENT OPPORTUNTIY

Evenglow is an Equal Opportunity Employer and is committed to maintaining a workplace free from discrimination on the basis of race, color, sex, religion, national origin, age, disability, or any other category or characteristic protected by law. Equal employment opportunity will be extended to all persons in all aspects of the employer/employee relationship, including recruitment, hiring, compensation, benefits, training, promotion, transfer, discipline, layoff, termination and social or recreational activities.

STATEMENT ON AT-WILL EMPLOYMENT

It is the policy of Evenglow that all employees who do not have a separate, individual written employment contract and/or agreement with Evenglow Lodge for a specific, fixed term of employment are employed at the will of Evenglow. Employment at Evenglow Lodge may be terminated with our without cause, and with our without advance notice any time by the employee or by Evenglow Lodge. Nothing in this application, or in any other document or general policy statement from Evenglow Lodge, should be construed as limiting the right of either the employee or Evenglow Lodge to terminate the employment relationship. In addition, Evenglow Lodge reserves the right to alter or change job responsibilities, promote, demote, reassign or transfer job positions, or assign additional job responsibilities at its sole discretion at any time.

I understand that nothing contained in this application or conveyed to me during any interview which may be granted is intended to create an employment contract, implied or explicit between me and Evenglow.

STATEMENT ON CERTAIN CRIMINAL CONVICTIONS

Evenglow finds that it is in the public interest to protect the most vulnerable and disabled citizens from possible harm through a criminal background check of all Evenglow employees.

Evenglow will not knowingly hire or employ any individual if that person has been convicted of committing one or more of the offenses listed in the Illinois Health Care Workers Background Check Act and associated regulations. A list of these offenses may be obtained from the Human Resources office.

STATEMENT ON INFORMATION PROVIDED FOR EMPLOYMENT CONSIDERATION

Any information provided to Evenglow for employment consideration purposes, including this application, resume or other written documents as well as verbal statements, must be true and correct to the best of the applicant’s knowledge. Any misrepresentation, falsification, or material omission by an applicant may result in Evenglow excluding an applicant from further consideration for employment, or, if hired, termination of employment.

POST-OFFER DRUG SCREENING

Employment with Evenglow is contingent upon successful completion of a post-offer drug screen prior to the first day of employment. Failure to pass the post-offer drug screen may result in withdrawal of the employment offer.

POST-OFFER PHYSICAL

Employment with Evenglow is contingent upon successful completion of a post-offer physical conducted by Evenglow’s physicians, prior to the first day of work. A pre-work screen is also required for all Certified Nursing Assistants, Universal Care Givers, Registered Nurses and Licensed Practical Nurses.

ELIGIBILITY TO WORK IN THE UNITED STATES

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 form upon hire. Applicants for employment must be currently authorized to work in the United States on a fulltime basis.

Please answer the following questions:

Are you authorized to work lawfully in the United States for Evenglow Lodge?
YesNo
Will you now or in the future require sponsorship for employment visa status (e.g., H-IB visa status)?
YesNo
I have read and understand the policies, statements, and questions provided as part of Evenglow’s application process.

AUTHORIZATION FOR REFERENCE WAIVER/RELEASE OF CLAIMS

I have applied to EVENGLOW LODGE for employment consideration. In order that EVENGLOW LODGE can better evaluate my qualifications, I wish that EVENGLOW LODGE be fully advised of my performance and record with you.

I give EVENGLOW LODGE the right to investigate all references and past employment to secure information about me in order to arrive at a hiring decision. I also authorize all persons, institutions, organizations and companies to furnish any and all information sought, and I waive any legal requirements to provide notice to me regarding reports, records or information given or received in accordance with this authorization.

I hereby release and hold harmless EVENGLOW LODGE, its agents and employees from any claim of liability I may have against it and/or them for decisions, even if adverse, arising out of information received in response to the above Authorization for Reference.

I further hereby authorize any person or entity to which this Authorization for Reference is presented to and release any information required therein to EVENGLOW LODGE, its agents or employees.

I further agree to hold harmless any person or entity from any claims of liability I may have against such person/entity for the release of such information, and waive and release any such claims.

I hereby acknowledge that I have read and understand each of the above statements.
Attach Cover Letter

PERSONAL INFORMATION

Last Name
Street Address
City
First Name
Email
State
Middle Initial
How Long at This Address
Zip Code
Social Security Number
Home Phone
Alternate Phone

POSITION DESIRED AND AVAILABILITY

Position Desired
Are You at Least 18 Years OldYesNo
Availability (You may select more than one)
If NOT, please state your age
Pay Rate Desired

PREVIOUS EVENGLOW EXPERIENCE

Have You Applied at Evenglow BeforeYesNo
Have You Worked at Evenglow BeforeYesNo
Do You Have Relatives Working at EvenglowYesNo
If Yes, When
If Yes, When
If Yes, List Name and Relationship
What Department
What Department
What Position
What Position

Please e-mail Sylvia your resume at shardin@evenglowlodge.org