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Professional Service - Family Atmosphere

We are a 4 Star Facility in Lake County

  • Meadowood Nursing Center Patio
  • Meadowood Nursing Center Entrance
  • Meadowood Nursing Center Entrance
  • Meadowood Nursing Center Entrance
Meadowood Nursing Center Awards
Press Release and Media

Meadowood Nursing Center Awards

Love is Spoken Here

Therapy Services

  • Joint Replacement
  • Hip/Knee fracture
  • Amputation
  • Arthritic Conditions
  • Pulmonary Disease
  • Stroke
  • Swallowing Disorder
  • General Weakness
  • Post Cardiac Surgery
  • Post General Surgery
  • Complex Medical Problems
  • Traumatic Injuries

Skilled Nursing Services

  • 24 Hour Care 7 Days a Week
  • RN Educator and Gerontologist
  • Pain Management
  • Wound Prevention and Management
  • Diabetic Management and Education
  • Individual Resident Care Plan Treatment
  • IV/Antibiotic Therapy
  • Medication Management and Education
  • Nutrition and Hydration Programs
  • Restorative Nursing
  • Catheter and Colostomy Care
  • Enteral Feeding Program
  • Off-site Dialysis
  • Respite Stay


Meadowood Nursing Center Application for Employment
An Equal Opportunity Employer

Personal Information

First Name
Middle Initial
Last Name
 
Current Address
City
State
Zipcode
 
Email
 
Telephone
Cell Phone
Message Phone
 
May we call you at work? Yes No
 
Position Applying For
 
What is your salary requirement? $
 
Will you accept: Full Time?
Part Time?
Temporary?
On Call?
Night?
Saturdays?
Sundays?
 
Date you are available to start employment?
 
How did you find out about this position? Newspaper
Friend
Employee
EDD
Other
Please Explain
 
Check Yes or No to each of the following Questions. Explain where necessary:

Are you over 18 years of age?

No Yes
Do you have a valid California Driver's License? (A current motor vehicle report may be required if drifing is necessary for the position for which you are applying)

No Yes
Can you provide proof after you are hired that you can legally work int he United States? (If hired, you will be required to submit proof of the legal right to work int he United States)

No Yes
Have you ever been convicted ot a criminal offense (felony or misdemeanor)? (Convictions for marijuana-relatred offenses that are more than two years old need not be listed) A conviction will not necessarily be a bar to employment - all factgor involved will be considereed. If yes, when, where and idspotion of case (not applicable for public sector applicants)

No Yes
If yes, please include: where, when, disposition:

Can you, with or without accommodation, perform all of the essential functions of the job for which you are aplying?

No Yes

Education/Training

1) Name and location of schools (high school, college, trade, business or correspondence)

Name Location Graduate? Subjects Studied Degree

2) Special Training: List any training you have had which may help to qualify you for the position for which you are applying. Include trade, vocational, military, etc. Indiciate type of training, where acquired, dates and whether you comoleted it successfully.


Type of Training Where Acquired Dates Completed?

3) Licenses/Certificates: List any licenses or certificates you have which may help to qualify you for the position for which you are applying. Include driver's license, typing, steno or software certificates, professional registration, etc.


Title State Number Date Issued Date Expires


4) Languages which you can fluently:

Speak
Read
Write

Employment History

List your entire work experience BEGINNING WITH YOUR PRESENT OR LAST JOB. Show promotions as separate jobs. Be sure to include appropriate military experience.

IMPORTANT: Check box () if the job gave you specific experience in the position for which you are applying.


Date of Work (month and year)

From:

To:

Employer's Name

Phone #

Address

Supervisor's Name

Supervisor's Title

Your Title

Wage (hr/mo)

Describe Your Duties

Reason for Leaving



Date of Work (month and year)

From:

To:

Employer's Name

Phone #

Address

Supervisor's Name

Supervisor's Title

Your Title

Wage (hr/mo)

Describe Your Duties

Reason for Leaving



Date of Work (month and year)

From:

To:

Employer's Name

Phone #

Address

Supervisor's Name

Supervisor's Title

Your Title

Wage (hr/mo)

Describe Your Duties

Reason for Leaving

References

Name Address Phone Relationship

Authorization For Consumer and/or Investigative Report
(Important: Please read carefully before signing authorization)
CA, MN, OK Only

I understand that if the above named employer requests a copy of my consumer report for employment purposes, I have the right under California, NMinnestota, and Oklahmoa law to recieve a copy of that comsuer report from the employer free of charge. I understnad that buy checking yes below, a copy will be provided to me at the address I provieded above, I would like to recieva copy of my comuter report (background check)

Yes No

The company may request consumer reports or investigative consumer reports in connection with your application for employement (if any) with the company. Any information contained in such reports may be taken into consideration in evaluating your suitabliity for employment, promotion, reassignment or rentention as an employee. Such reports, if obtainted, will be prepared by a consumer reporting agency and may contain information concerning your credit standing or worthiness, character, general reputation, personal characteristics, or mode of living. The types of reports that may be requested, include, but are not limited to: credit reports, criminal records checks, court records checks, and/or summaries of educational and employment records and histories. The information contained in such reports may be obtained from public record sources or through personal interviews with your neihgbors, friends, associates, current or former employers, or other personal acquaintances.

I certify that the information contained in this application is true and correct and complete to the best of my knowledge and belief. I understand that any false statement, omissions or misrepresentation of facts in connection with this application can be cause for rejection of my application, or if I am employed, for my dismissal from employment. I also understand that I am required to abide by all rules and regulations of the Employer.

I hereby understand and acknowledge that if I am employed, my employment relationship with the Employer is of an "at will" nature, which means that I may resign at any time and the Employer may discharge me at any time, with or without cause. It is futher understood that this "at will" employment relationship may not be changed by any statement or conduct of any person, unless such change is specifically achnowledged in writing, signed by the Administrator of the Employer.

I achnowledge that no other promises, agreements or representations have been made contrary to this "at will" employment agreement, and that this agreement, as acknoweldged by my signature below, is the full and comnplete agreement governing the Employer's rights and obligations concerning the termination of my employment.


Signature of Applicant (enter your name, a signature will be requested in person)


Date

Applications will be maintained in an active file for a period of one year and then transferred to an inactive status for a period of one year from date received.

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, physical or mental disabilities, or any other legally protected status.

Employment Physical Notification

I, , understand that Meadowood Nursing Center requires an employment physical, which includes drug testing. This examination will be at the company's expense with the test results being conficential.

Furthermore, I agree that the attending physician will norify the designated company representative if I pass or fail the examination. The company, in turn, will hold this information in strict conficence and it will be for company use only.

Any offer of employment is subject to and contingent upon my successfully passing this employment physical.

Health Care Provider:
Physician: Dr. R.D. Jennings
Address: 15230 Lakeshore Dr.
City: Clearlake, CA 95422
Telephone Number: 707-994-4500

If I do not pass the physical, I have the right to request information concerning the reasons I did not pass the medical examination. Such request should be directed to the health care provider who performed the medical examination.


Applicant's Signature (enter your name, a signature will be requested in person)


Date (Month/Day/Year)

Your social security number is required, but is not requested here for security reasons. Your social security number will be requested in person after this application has been received.