Employment Application

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

Step 1 of 8

Application date:
Position(s) applied for:
Legal Name*
First Middle Last
Preferred Name
Birth Gender
Gender Identity
Present Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email
Are you over the age of 16?
- Yes
- No
Best time to contact you

References (other than family)
Reference #1: Please give the name, relationship, and phone number
Reference #2: Please give the name, relationship, and phone number
Reference #3: Please give the name, relationship, and phone number
Applicant's Statement
Signature*
First Last
Please read and understand this statement before signing your application: I understand this application shall be considered active for 90 days. I authorize the employer to obtain information about me from previous employers, educational institutions, government and law enforcement agencies and other parties, to verify the accuracy of information in this application, a related employment resume or personal interview. I waive all rights and claims I may otherwise have against the employer or its representatives, for seeking, and using information to evaluate my employment request and all other people who provide information for this purpose. This application is not an employment agreement. I understand that nothing contained in the employment application, granting of an interview or offer of employment is intended to create an employment contract between Bethesda and me. If I accept an offer of employment, I understand the employer may terminate my employment at any time, with or without cause and without prior notice, by Bethesda or myself. I understand that no one, other than the CEO has authority to enter into any employment agreement with terms contrary to the foregoing, and then only in writing signed by such officer. I accept all terms and conditions in the above statement.
Bethesda Home Mission, Vision, and Core Values
Signature*
First Last
Our Mission: Bethesda seeks to be a community formed by the spirit of Jesus Christ to fulfill the lives of adults with special needs in a place that is home.

Our Vision: Bethesda will be a regenerative community for all residents, staff, board and families. Bethesda will achieve its mission by honoring these

Core Values:
1. Treasure every person
2. Practice daily welcome and hospitality
3. Listen with the heart, hold confidences, forgive
4. Name losses and celebrate joys
5. Foster choice, creativity and playfulness
6. Develop servant leaders who seek supervision and foster excellence
7. State goals, accept risks, be accountable
8. Change unjust practices and negotiate conflicts
9. Enlarge, develop and complete life, receiving and giving blessings.

I am in agreement with the mission, vision and core values of Bethesda and, if employed, I agree to conduct myself in accordance with them with full knowledge that violation may result in disciplinary action up to and including termination. I certify that the information I provided in this application for employment is true. False, incomplete or misrepresented information will be sufficient cause for my application to be rejected, or, if discovered after I am employed, cause for immediate termination of my employment.

Bethesda Home & Retirement Center

Employment Application

Employment Application

Step 1 of 8

Education

Employment Experience

Position 1

Position 2

Position 3

Position 4

References (other than family)

Applicant's Statement

Bethesda Home Mission, Vision, and Core Values