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RidgeStone Assisted Living
Application for Employment

We are an EQUAL OPPORTUNITY EMPLOYER. We do not discriminate in hiring or employment on the basis of race, color, religion, gender, national origin, age, disability or on any other basis prohibited by federal, state or local laws. No question on this form in intended to secure information to be used for any such discrimination. A criminal background check is required by the State of Wisconsin, the results of which  may prohibit employment under State of Wisconsin HFS 83 and/or 89. By State regulation, all employees are required to be at least 18 years of age.

All fields with an asterisk (*) are required to be completed.

Employment Application
  • RidgeStone Assisted Living provides care for our residents 24 hours a day, seven days a week. All staff members are required to work weekends and holidays on a rotation basis. You may also be asked to fill in for absent co-workers on an on-call basis. 

  • Employment History

  • Start with you present or last job and list all of your employment regardless of length of time for each.

  • Education

  • References

  • List the name, business name, address, email address and telephone number of three business references that are familiar with your job-related abilities and skills:

  • (allowed file types: doc, docx, pdf, txt, xls, xlsx)
  • Applicant's Certification, Authorization and Release Statement

    I certify that the information provided by me in this application and given during the interview proxess, whether orally or in writing, is true and complete to the best of my knowledge and belief. I understand and agree that any omission or misrepresenation of fact as stated or implied, may result in the denial of employment or in termination if I am hired, and that the Company shall not be held liable in any respect if my employment is terminated for that reason.
    I understand that all information furnished in this application may be verified by the Company or its authorized representative and I authorize the Company to do so. i waive any right I may have to notice from any individuals and organizations named or referred to in this application prior to the release of any employment information to the Company. I hereby authorize all individuals and organizations named or referred to in this application, and any law enforcement organization, to give the Company all information relative to such verification and herby release and hold harmless such individuals, organizations and the Company from any and all liability for any claim or damage resulting there from.
    I understand that if I am hihred, I am required to abide by all the rules, policies and procedures of the Company. I also understand that the Company's rules, policies and procedures are subject to modification without notice to me.
    I also understand that the Company is not obligated to provide emloyment and that I am not obligated to accept employment. Nothing in this application or in any prior oral or written staments is intended to create a contract of employment. If I am hired by the Company, I understand that my employment will at all times be at-will, and for no definite period, and that either the Company or I may end the employment relationship at any time without notice or cause. I understand that only the Company President has the authority to enter into any agreement contrary to the foregoing. Any such agreement with the President must be in writing and signed by the President of the Company.
    I understand that this application form will be considered current for only 60 days, and that I will need to complete a new application form if I wish to be considered for employment beyond that period.
    I have read and understood the above.