Application for Employment

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The Grove and the Gardens

2112 Oak Street
Forest Grove, Oregon 97116
(503) 359-1002 503-357-9780

We hire and promote without regard to race, color, sex, national origin, religion, marital status, age,* sexual orientation, current military status, or disability.

Each section and question must be fully and accurately answered, No action will be taken on an incomplete application.

Personal Data


Job Interest


Education and Training


Work Experience Give emplyment records as completely as possible, starting with your present, or most recent employer, back 4 years.



I certify that the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind whatsoever. I hereby authorize all persons and institutions mentioned on this application to give information relative to possible future employment. I agree to release said persons, institutions and the Grove Assisted Living LLC from all liability in regard to the final outcome(s) due to the transmission of truthful reference information. I understand that employment with The Grove Assisted Living LLC. All obligations on The Grove Assisted Living's part, with respect to salary, shall end with the last day worked. I understand that any falsification or omission of relevant information may result in a denial or an offer or termination. I understand that employees are allowed to smoke in designated areas of the facility only. I understand The Grove Assisted living LLC may require a pre-employment or random drug screen.