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Application form

Please use the form below to apply. If you wish to apply by email, simply Download & fill the form then email it to jobs@aecliving.com

Step 1 of 4 - Personal Information

25%

Name*
Address*
Street Address
City*
State
Phone*
Email*
Position applying for
Are you licensed/certified for the job applied for?*
- Yes
- No
Type of license or certification*
License/certification #*
Issuing State*
Expiration*
Are you able to perform the essential functions of the job applied for, either with or without reasonable accommodation?*
- Yes
- No
If no, please explain:*
Other*
Date you can start
MM slash DD slash YYYY
Per state licensing regulations, hire is dependent upon a cleared screening for tuberculosis (TB) AND fingerprint clearance from the FBI and DOJ.*
- I understand fingerprint clearance is required.
- I understand TB screening and clearance is required.
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the US and complete the required verification documentation upon hire.*
- I understand that if hired I will be required to provide such documents.
What is your age group?*
(Diffferent positions have different age requirements.)
- <18
- 18-20
- 21-25
- 26+
Which time of day are you available to work?*
- Between 6:00am and 3:00pm
- Between 3:00pm and 11:30pm
- Between 10:00pm and 8:00am
- Other
Other
Most positions work a rotating schedule, all positions require at least some weekend work.*
- I understand that if hired I may have to work some weekends.
Have you ever applied/worked for this company before?*
- Yes
- No
Please tell us when and in what position*
How did you hear about this company/job?
Other*

High School
Institution Name
City
State
Country
Did you graduate?*
- Yes
- No
College/University
Institution Name
City
State
Did you graduate?*
- Yes
- No
Degree
Vocational/Business
Institution Name
City
State
Did you graduate?
- Yes
- No
Certification/Degree

Please list three people not related to you who we can contact for a reference if necessary.
First Person
Name*
Phone*
Relationship*
Other*
Years known*
Second Person
Name*
Phone*
Relationship*
Other*
Years known*
Third Person
Name*
Phone*
Relationship*
Other*
Years known*
Please read carefully, check to show you understand and sign below.
*
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
*
I hereby authorize AEC Living to investigate my references, work record, education, and other matters related to my suitability for employment unless otherwise specified above. I further authorize the references I have listed to disclose to the company any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.
*
I understand that nothing contained in the application, or conveyed during any interview which may be granted, or during my employment, if hired, is intended to create an employment contract. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself of the Company, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company’s designated representative.
Signature*
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Contact

Elders Inn
1721 Webster St
Alameda, CA 94501
(510) 521-9200
Waters Edge Lodge
801 Island Drive
Alameda, CA 94502
(510) 748-4300
Phoenix Commons
340 29th Ave
Oakland, CA 94601
(510) 217-8527
AES Therapy & Fitness
1725 Webster Street
Alameda, CA 94501
(510) 748-0158
AEC Home Care
2425 Webb Ave
Alameda, CA 94501
(510) 629-4959

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