Employment Application

The Brook Retirement Communities is an equal opportunity employer. Please complete each section of the application below, entering all applicable information. The information provided by you will be kept confidential. If you want to download the application and mail it, download the PDF here. We look forward to reviewing your application!

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First Name:
 
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Last Name:
 
Middle Name:
 
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Email Address:
 

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Permanent Address:
 
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City:
 
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State:
 
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Zip:
 

Home Phone:
 
Cell Phone:
 
Best time to call?  
Date Available for Work?
 

Are you applying for: "Part-time / Full-time"?
 
Location are you applying for:

Boyne CityBig RapidsCheboyganGladwinGraylingGaylordHoughton LakeRoscommonWest BranchNewaygoCedar Springs
Shift Preference: "Evenings, Nights, Weekends, Any"?
 
Are you a US citizen / legal alien authorized to work in the US?
 
YesNo
Are you 18 years or older?
 
YesNo

Position Applying for:
 
Desired Salary:
 
Relatives or Friends employed at this facility?   YesNo
If yes, who?  
How were you referred to this facility?
 
Have you ever been employed by this facility?
 
YesNo
Have you ever been guilty of, or plead guilty to a crime? (excluding misdemeanor traffic violations )
 
YesNo
Please explain if YES:
 
Have you ever been involved in the substantiated abuse or neglect of children or adults under the laws of this or any other state of the United States?
 
YesNo
Please explain if YES:
 

EDUCATION (Name and address of school. Course of Study: Graduate? Degree? License?)
High School:
 
College:
 
College:
 
Other:
 
Other:
 

Professional Licenses:
 
YesNo
List any other Professional Certifications. Note the "Date Certified" and "State Certified In":
 
Currently licensed:
 
YesNo
Eligible for License:
 
YesNo
Currently Registered:
 
YesNo
Has your license or registration ever been suspended, revoked or on probation?
 
YesNo
Please explain if YES:
 

Previous Experience:
 
 
Employer Name
 
Job Title:
 
Date from/to:
 
Phone:
 
Address:
 
Duties:
 
Supervisor's Name:
 
Reason for leaving:
 
Rate of pay at end of employment?  
 
Employer Name
 
Job Title:
 
Date from/to:
 
Phone:
 
Address:
 
Duties:
 
Supervisor's Name:
 
Reason for leaving:
 
Rate of pay at end of employment?  
 
Employer Name
 
Job Title:
 
Date from/to:
 
Phone:
 
Address:
 
Duties:
 
Supervisor's Name:
 
Reason for leaving:
 
Rate of pay at end of employment?  
 
Please identify and explain any gaps in employment longer than 3 (three) months:
 
Occupational Goal:
 
 
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Corporate Phone

Phone: 989-745-6500
Fax: 989-745-6505

Corporate Address

2375 S. I-75 Business Loop – Suite 4
Grayling, Michigan 49738

Learn More

Click a location from the menu to view floor plans, cost information, photo-galleries, events and city chamber information for each of our locations.