Come home to Cornell 503-640-2884 Home Care Levels Resident Services About Calendar Contact Employment Application This application is intended for use in evaluating your qualifications for employment. This is not an employment contract. If an employment relationship is entered into, it is voluntarily and acknowledged that there is no specified length of employment. Accordingly, the relationship can be terminated at will, with or without notice. Please answer all appropriate questions completely. False or misleading statements during the interview or on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination due to gender, marital status, race, age, creed, national origin, or the presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. Affirmative action hiring may be requested by qualified applicants. Additional testing of job-related skill and for the presence of illegal drugs and/or alcohol may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review. Depending on company policy and the needs of the job, you may be required to complete a medical history form and may be required to be examined by a medical professional by the company. Step 1 of 3 33% Personal Information Name* First Last Address* Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code Phone* Prior Address Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code Availability Position applied for:* Date available:* Preference* Full-Time Part-Time Temporary Weekdays Weekends Evenings Nights Overtime Shift Other Education Please check the highest grade completed: 7 8 9 10 11 12 13 14 15 16 16+ High School Education Name of High School City & State of High School Dates Attended High School High School Graduate? College Education Name of College City & State of College Dates Attended College College Graduate? Other Education Name of Other Type of Education City & State of Other Type of Education Dates of Other Type of Education Graduate of Other Type of Education? Cornell Estates 1005 NE 17th Ave Hillsboro, OR 97124 503-640-2884 Contact Us Care Levels Respite Care Retirement Living Assisted Living Activities Dining Amenities Community About Our Philosophy FAQ Testimonials Press Partnerships Volunteer Employment Calendar Blog Terms & Conditions Privacy Policy © 2021 Cornell Estates Assisted Living Website by: Studio 1850