Robbinswood Northcrest
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The following information is requested in order to help us make the possible placement within the company. All portions of this application pertaining to you must be completed. We appreciate the time you spend in filling in this application form. The company, in accordance with state and federal laws, does not discriminate on the basis of age, race, religion, color, sex. national origin, marital status, physical or mental handicap, height, weight or arrest record.

Grand Haven Campus: 1125 Robbins Road, Grand Haven, MI 49417- (616) 842-1900

Northcrest Campus: 2650 Rudiman Drive, North Muskegon, MI 49445 - (231) 744-2447

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Name(Required)
Address(Required)
U.S. Citizen(Required)
Are you either a U.S. Citizen or an alien authorized to work in the United States?
18 Years or Older?(Required)

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Current Employment Status(Required)
Are you currently employed?
May we inquire of your present employer?(Required)
Current Employer
Previous Employee of Robbinswood or Northcrest(Required)
Have you ever worked here?
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Know employee of Robbinswood or Northcrest?(Required)
Do you know anyone who works here?
Overtime Availability(Required)
Can you work overtime?
Shifts
For which shifts are you available?

Did you graduate?
Did you graduate?
Did you graduate?
Did you graduate?

Employment Record

Please list the most recent position first.

Employer 1

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MM slash DD slash YYYY
Address
Contact?
May we contact them?

Employer 2

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MM slash DD slash YYYY
Address
Contact?
May we contact them?

Employer 3

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MM slash DD slash YYYY
Address
Contact?
May we contact them?

Personal References

Reference 1

Contact?
May we contact them?
Address

Reference 2

Contact?
May we contact them?
Address
Address

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Max. file size: 512 MB, Max. files: 4.
    (Optional) Upload resumé, letter of recommendation, or cover letter.

    I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if hired, any falsified statements on this application shall be grounds for dismissal.

    I authorize investigation of all statements contained herein and consent for all employers, education institutions and reference persons listed above to release any and all information related to my previous employment or education pertinent to this position. Furthermore I waive all written notice from all previous employers and release all parties in accordance with the employer right to know act, from all liability for any liability or damage that may result from furnishing such information to Robbinswood.

    I understand if Robbinswood selects me for employment consideration that as a condition of employment with Robbinswood I will be required to complete and be deemed eligible for employment by the State of Michigan through the Michigan Workforce Background Check & fingerprinting process. Furthermore I understand all offers of employment are subject to completing and passing a “staff fitness for work evaluation” and a negative TB test result. I understand and agree that, if hired, my employment is at-will, for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause.

    • About
    • Floor Plans & Rates
    • Testimonials
    • Activities & Events
    • Amenities
    • Jobs
    • Resources
    • Contact
    • Employment Application
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