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2300 WATKINS LAKE ROAD, WATERFORD, MI 48328 248.886.5600
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WHO WE ARE
OUR COMMUNITY
Independent Living
Assisted Living
Memory Care
Rehab Care
Long Term Care
PHILANTHROPY
CAREERS
VOLUNTEERS
CONTACT US
Pre-Employment Application
Personal Information
Last Name
First Name
Middle Name
Address
Address
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ZIP/Postal Code
Phone number
Alternate/cell phone number
Social Security Number (last 4 digits only please).
Email address
Are you 18 years or older?
No
Yes
Are you legally eligible to work in the United States?
No
Yes
Have you ever been convicted of any crime (excluding minor traffic violations) including driving while under the influence of alcohol or drugs?
No
Yes
Have you ever been administratively determined by a federal, state or local government agency to have committed abuse or neglect?
No
Yes
Do you have a valid driver’s license?
No
Yes
What method of transportation will you use to come to work?