Presbyterian Homes Employment Application

Presbyterian Homes is an equal opportunity employer and, in accordance with the requirements of all applicable state and federal laws, does not discriminate in hiring or employment practices on the basis of race, color, religion, creed, national origin, sex, ancestry, marital status, unfavorable military discharge, disability, age, sexual orientation, or any other legally protected status.

To apply online, please use the form shown below.

* Please note, if you leave this page before you send your information, the information will clear.

Attach Resume:

Personal Information

First Name:* Middle Initial: Last Name:*
Home Street Address:
City: State: Zip:
E-mail:*        
Home Telephone: Work Telephone: Cell/Pager:
List the names of any individuals to whom you are related by blood or marriage who work for Presbyterian Homes: Placement Preference: Great Opportunities
King Home
Lake Forest Place
The Moorings
Westminster Place		  
Positions Desired:


       
Work Schedule Preference: Full time
Part time
Either
Registry		 Shift Desired: First
Second
Third		 Days You Can Work: Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Holidays
Rate of Pay Expected: $
Hour Year		 If accepted, date available to start:    
Have you ever been employed by one of the Presbyterian Homes facilities? Yes No If yes, give employment dates: Location:
Reason for Leaving:        

Employment History
Begin with present or most recent employer.

Firm Name:* Phone Number:* Street Address:
City: State: Zip:
Dates Employed (Mo./Yr.): From:
To: 		Job Title: Last Salary:
Major Duties:
Reason for Leaving: Supervisor's Name and Title:    
Firm Name: Phone Number: Street Address:
City: State: Zip:
Dates Employed (Mo./Yr.): From:
To: 		Job Title: Last Salary:
Major Duties:
Reason for Leaving: Supervisor's Name and Title:    
Firm Name: Phone Number: Street Address:
City: State: Zip:
Dates Employed (Mo./Yr.): From:
To: 		Job Title: Last Salary:
Major Duties:
Reason for Leaving: Supervisor's Name and Title:    

Other Information

Are you legally eligible for employment in the United States?
Yes No
Have you ever been convicted of a crime?
Yes No
Answering yes to this question does not necessarily exclude you from employment. Do not provide information on sealed or expunged convictions.

How did you learn of our organization?
Advertisement Employee Referral: Job Fair
Placement Service School Posting Walk-in/Job Posting Online Search Other

Work References

Name: Organization: Phone Number:
Name: Organization: Phone Number:
Name: Organization: Phone Number:

License Credentials

Is your CPR card current (for clinical positions only):

Explain:

Education

High School Name and Address of School Courses of Study  
Did you Graduate?
Yes
No
Last Year Completed Last Diploma or Degree
1 2 3 4
       
College or Nursing School Name and Address of School Courses of Study  
Did you Graduate?
Yes
No
Last Year Completed Last Diploma or Degree
1 2 3 4
       
Graduate School Name and Address of School Courses of Study  
Did you Graduate?
Yes
No
Last Year Completed Last Diploma or Degree
1 2 3 4
       
Other (specify) Name and Address of School Courses of Study  
Did you Graduate?
Yes
No
Last Year Completed Last Diploma or Degree
1 2 3 4

 

Special Skills:
(Summarize special job-related skills and qualifications acquired from employment or other experience.)

READ CAREFULLY AND ACKNOWLEDGE BY SUBMITTING APPLICATION FORM.

I certify that the information contained in this application is true to the best of my knowledge and belief. I understand that if I am employed, any misrepresentation of facts, as stated or implied, is cause for dismissal.

I authorize Presbyterian Homes to investigate any of this information, including examination of past employment records, references and other facts stated on this application, unless otherwise stated by me. I waive any right which I may have to receive written notice from any employer listed on this applicaiton regarding the release to Presbyterian Homes of any and all information concerning any disciplinary report, letter of reprimand or other disciplinary action taken against me during the course of my employment.

If I receive an offer of employment, I will comply with Presbyterian Homes' employment policy by authorizing the Verified Program of the Metropolitan Chicago Healthcare Council to conduct a criminal background search.

I understand that Presbyterian Homes is an "at-will" employer. This means that either Presbyterian Homes or an employee may terminate the employment relationship for any reason, at any time, with or without notice and with or without cause. I further understand that no one other than an authorized corporate officer of Presbyterian Homes has the authority to enter into an agreement providing otherwise, and any such agreement must be in writing and signed by both parties.

I understand that in accepting this application, Presbyterian Homes is in no way obligated to offer me employment.

For your convenience, you can fax, e-mail, send us your resume, or visit us between 8:30 a.m. and 4:30 p.m. Monday-Friday at one of our locations:

Fax: 847-866-1668
E-mail: Humanresources@presbyterianhomes.org

Westminster Place Campus
3200 Grant Street
Evanston, Illinois 60201
847-570-3422 or 800-896-9095

Downtown
Evanston Campus
Ten Twenty Grove
1020 Grove Street
Evanston, Illinois 60201
847-864-5451

King Home
1555 Oak Avenue
Evanston, Illinois 60201
847-864-5460

Lake Forest Place
1100 Pembridge Drive
Lake Forest, Illinois 60045
847-604-8800 or 800-886-8409

The Moorings
of Arlington Heights
811 East Central Road
Arlington Heights, Illinois 60005
847-956-4304 or 800-445-8431

Maps to all five of our locations are available.