Employment Application

Thank you for considering Arlington Health and Rehabilitation for your future employment opportunity.  Please completely fill out the application below.

Are you currently employed?

Can we contact your current employer?

Are you legally authorized to work in the US?

Have you applied at Arlington Health and Rehabilitation before?

Have you worked at Arlington Health and Rehabilitation before?

Are you able to work overtime if required?

Have you ever been found to have committed abuse?

Have you ever pleaded "guilty" or been convicted of a crime?

May we contact this employer?

APPLICANT STATEMENT - I declare under penalty of perjury under the laws of the state of Washington that all information I have provided in order to apply for and secure work with Arlington Health and Rehabilitation is true, complete, and correct. I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered. I expressly authorize, without reservation, Arlington Health and Rehabilitation, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities, and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. l hereby waive any and all rights and claims I may have regarding Arlington Health and Rehabilitation, its agents, employees, or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations, or organizations for furnishing such information about me. l understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state, or federal law. If l am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. I understand that I am an at-will employee. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president.

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