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Application
to work 
at Bethany

Online Application

There are 5 pages to this online application. Please be sure to hit the "Submit" button AND the "Continue Application" Button until you finish Page 5 of this application.

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You may also opt to print the application using the button provided. Email it to info@bethanyway.org when it is completed.

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Thank you!

TLAB-APP-1 (Revised 15 May 2021) | PART 1 OF 5

BETHANY

THE LODGE AT BETHANY

THE COTTAGES AT BETHANY

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APPLICATION FOR EMPLOYMENT

EQUAL OPPORTUNITY STATEMENT:


The Lodge at Bethany and The Cottages at Bethany (Bethany) does not unlawfully discriminate in employment.  No question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state, or federal law.  Equal access to programs, services and employment is available to all persons.  Those applicants requiring reasonable accommodation to the application and/or interview process should notify the Administrator or CEO for Bethany. 

NOTICES:

This application remains active for only 30 days.  After 30 days, an applicant must fill out a new application in order to be considered for employment at Bethany. 


For this type of employment, state law requires a National and State Background check as a condition of employment.


Employment with Bethany includes, but is not necessarily limited to the following:  confirmation of your educational background, professional licenses, personal and professional references, a criminal record check, a National and State Background check, a driving record check, a physical exam, and a drug and alcohol test.

Within three (3) days of hire, each employee will be required to provide proof of identity and work authorization as required by federal law.

PLEASE MAKE SURE YOU COMPLETE

ALL 5 PAGES OF THIS APPLICATION

Date of Application
Month
Day
Year
Shift Availability

Before answering the following question, please read the job description of the position(s) for which you have applied.  A list of job descriptions is available from the Administrator, and is posted on the website at www.bethanyway.org.

Multi-line address
If you are under 18, and it is required, can you furnish a work permit?
Have you ever been employed here before?
Type of employment desired

Answering “yes” to the following questions does not constitute an automatic bar to employment.  Factors such as age at the time of the offense, remoteness of the offense in time, and rehabilitation will be taken into account in determining effect on suitability for employment.

Have you ever pled “guilty” or “no contest” to, or been convicted of a crime?
YES
NO
Have you ever been convicted of, pled “guilty” to, or pled “no contest” to any violation related to Medicare, Medicaid, or any other violation of federal or state healthcare laws?
YES
NO
Have you ever been debarred, excluded, or otherwise become ineligible for participation in a Federal or State healthcare program?
YES
NO

EMPLOYMENT HISTORY

Starting with your most recent employer, provide the following information.

Multi-line address
May we contact for reference?
YES
NO

Please click "Submit" before you proceed with "Continue Application." Thank you!

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