The Graceful Journey Holistic Assisted Living facility does not discriminate in hiring or any other decision on the basis of race, color, sex, nationality, ancestry, veteran status, or on the basis of age or physical or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination.

BY SUBMITTING THIS FORM YOU AGREE TO THE FOLLOWING: I voluntarily give this institution the right to make a thorough investigation of my past employment and activities, agree to cooperate in such investigation and release all liability or responsibility all persons, companies, or corporations supplying such information.

I consent to take a physical examination, drug screening test, and such future physical examinations as may be required by this institution at such times and places as relates to essential duties I would be required to perform.

I certify that the statements contained herein are true to the best of my knowledge and belief. I understand that any false or misleading statement, receipt of unsatisfactory references, and unsatisfactory result of drug screening test, or an unsatisfactory result of a criminal background check, or an unsatisfactory result of the prescribed physical examination which reveals that I cannot perform the essential functions of my job with or without accommodation may prevent or result in termination of employment.

I understand that employment with Graceful Journey Holistic Assisted Living is at will and that either Graceful Journey Holistic Assisted Living or I may terminate the employment relationship at any time, with or without cause.

I further understand that neither this application nor any other Graceful Journey Holistic Assisted Living communication I may receive constitutes an employment contract or guarantee. I authorize Graceful Journey Holistic Assisted Living to share all personal employment records to regulatory agencies, upon their request.

I agree to allow Graceful Journey Holistic Assisted Living to process a criminal background investigation.

DRUG FREE POLICY: I understand that Graceful Journey Holistic Assisted Living is a DRUG FREE workplace/environment. Unsatisfactory compliance with Graceful Journey Holistic Assisted Living Drug Free Policy will result in termination. I agree to take a 5-panel drug test if required prior to accepting employment with Graceful Journey Holistic Assisted Living.