New Employee Application

If you are a kind, hard-working professional, Diamond View invites you to be considered to join our team.

Physical and Mailing Address:
Diamond View Assisted Living Community
3570 East Amity
Meridian, Idaho 83642

Telephone:
(208) 888-7030

Fax: Number:

(208) 888-7035


Or email us using the form below and we'll get back to you as soon as possible:

Name Full Address Email Address

Phone Number Alternate #


Diamond View is a 24/7 facility; and available shifts may vary.


Full-Time Employment Part-Time Employment Desired Position


Education
(Starting with High School)

School Address Years Attended

Graduate: Yes No Degree/Diploma


School Address Years Attended

Graduate: Yes No Degree/Diploma


School Address Years Attended

Graduate: Yes No Degree/Diploma


Current Licensure and Certification (Please mark all that are applicable)

CPR: First Aid: Food Handlers: MedCertified: CNA: MA: EMT: LPN: RN:

Special Qualifications and/or skills related to working with the elderly:


Employment History


Employer's Name Address Phone#

Date of Employment Title Able to Contact: Yes No

Supervisor's Name Reason For Leaving



Employer's Name Address Phone#

Date of Employment Title Able to Contact: Yes No

Supervisor's Name Reason For Leaving



Employer's Name Address Phone#

Date of Employment Title Able to Contact: Yes No

Supervisor's Name Reason For Leaving


Professional References

Name Phone Relationship

Name Phone Relationship

Name Phone Relationship


Qualifying Questions

Do you have any physical limitation or health conditions that may affect your ability to work in the position you are applying for?

Yes: No: If Yes, Please Explain

Are you willing to submit a physical examination by a designated physician to verify your current health condition is suitable to perform the work required? Yes: No:

Have you ever been charged or convicted of a felony or had any military convictions or charges? Yes: No:

State law prohibits us from employing sex offenders. Are you a registered sex offender? Yes: No:

The applicant certifies that all answers and statements on this application are true and complete to the best of the applicants knowledge. The applicant understands that should an investigation disclose untruthful or misleading answers or if the applicant fails to pass a required pre-employment drug test or background check, the application may be rejected, removed form consideration, or employment terminated. 



* Thank you for trusting us with your information. We will never sell, loan or disclose your information to any third party.

 

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