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Home > Careers > Career Application

Career Application

Step 1 of 8 - Personal/Contact Information

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PLEASE READ FIRST: If you have ever been told that an arrest or conviction “goes away” or cannot be discovered by an employer, there is a good chance we will find it, regardless of how many years ago it may have been. If you have not included it on your job application (as noted below), our position will be that you have not been truthful. Licensed long-term care and daycare facilities are highly regulated industries. Because Advent Christian Village has both in its organization, we are required to take great caution during the employment process. We are legally required to make a thorough check into the criminal background of every applicant who has been offered employment. As a result, you must be very careful to fully and honestly answer all questions on Page 3 of the application that ask about arrests, convictions, or the disposition of any criminal charges. While certain types of offenses may not preclude your employment at Advent Christian Village, any hint that you have not answered these questions fully and truthfully will result in your application not being considered or, if hired, could result in your discharge from employment.
I certify that I have read, understand and agree with the above.*
I agree

Name*
First Middle Last
Are you 18 years or older*
- Yes
- No
List any other name(s) you have used:*
Present Address*
Street Address Street Address 2 City State Zip / Postal Code
Permanent Address*
Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Best Contact Phone*
Email*
In case of emergency, notify:
Name
Best Contact Number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Untitled
Referred by:*
- ACV Employee
- ACV Website
- Social Media
- Newspaper or Magazine Ad
Name of Referring ACV Employee:*
Are You Related to an ACV Employee?*
- Yes
- No
Please provide their name and department.*

Position(s) Applying For:*
Hold Ctrl to select multiple positions.
Date you can start:*
MM slash DD slash YYYY
Salary desired:
Are you employed now?*
- Yes
- No
May we inquire of your present employer?*
- Yes
- No
Have you ever worked at ACV before?*
- Yes
- No
Where?*
When?*
List any days, shifts or hours you will NOT work:
Are you authorized to work in the US?*
- Yes
- No

High School
Name and Location*
Did you graduate?*
- Yes
- No
Grade Point Average*
If not, have you earned a GED or equivalent?*
- Yes
- No
- N/A
Have you graduated from any of the the following? (Check all that apply)*
- College
- Trade, Technical, Business or Correspondence School
- Other (Including Graduate School)
- Not Applicable / None of the above
College/University
Name and Location*
Grade Point Average*
Degree/Certification*
Trade, Technical, Business or Correspondence School
Name and Location*
Grade Point Average*
Degree/Certification*
Did you graduate?*
- Yes
- No
Other (Including Graduate School)
Name and Location*
Grade Point Average*
Degree/Certification*
Did you graduate?*
- Yes
- No
Additional Colleges/Schools
Add another college/school?
- Yes
Name and Location*
Grade Point Average*
Degree/Certification*
Did you graduate?*
- Yes
- No
Add another college/school?
- Yes
Name and Location*
Grade Point Average*
Degree/Certification*
Did you graduate?*
- Yes
- No

Employment History
Fill in as much as possible/as much as known, OR check this box if this would be your first job.
- This would be my first job
- Resume attached
Employer 1
Name*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Employed From
Month
Day
Year
To*
Month
Day
Year
Salary
Reason for Leaving*
Job Title/Job Duties*
Add another employer?
- Yes
Employer 2
Name*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Employed From*
Month
Day
Year
To*
Month
Day
Year
Salary
Reason for Leaving*
Job Title/Job Duties*
Add another employer?
- Yes
Employer 3
Name*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Employed From*
Month
Day
Year
To*
Month
Day
Year
Salary
Reason for Leaving*
Job Title/Job Duties*
Other Details
Please explain any gaps in your employment history
Have you received any written reprimands or disciplinary suspension during any employment?*
- Yes
- No
If yes, please explain:*
Have you ever been discharged or asked to resign?*
- Yes
- No
If yes, please explain (include by whom, when and for what_:*

Criminal Background Screening
Have you ever been convicted of, or pled guilty, no contest or nolo contendere to a crime?*
- Yes
- No
If yes, give details (date, place, offense(s), disposition, penalty, etc.):*
Have you ever been charged with a crime and either been placed on a court-ordered probation, had adjudication withheld, or entered a pre-trial intervention program?*
- Yes
- No
If yes, give details (date, place, offense(s), disposition, penalty, etc.):*
Have you ever been a defendant in a civil action for intentional tort (including but not limited to assault, battery, infliction of emotional distress, etc.)?*
- Yes
- No
If yes, provide the case name, number, court, date, nature of action, disposition, etc*
Driving Record
Do you have a valid driver’s license?*
- Yes
- No
What class of license do you possess?*
Have you ever had your license or driving privileges revoked, suspended or placed on probation?*
- Yes
- No
List below all traffic violations (except parking) on your record for the last five years and all motor vehicle accidents in which you were involved. (Or enter N/A if there are none.)
If yes, please explain (include when, where and what action was taken):*
How many speeding or other moving violations have you received in the last three years?*
Traffic Violations*
Date, Location, Description, Result

References
Three references are required.
Reference 1*
Name
Phone*
Business, Years Acquainted*
Reference 2*
Name
Phone*
Business, Years Acquainted*
Reference 3*
Name
Phone*
Business, Years Acquainted*

Application Complete
Resume
Accepted file types: pdf, doc, dox, Max. file size: 5 MB.
Cover Letter
Accepted file types: pdf, doc, dox, Max. file size: 5 MB.
I hereby agree that all the facts and information listed on this employment application are true and complete. I understand that any false, incomplete or misleading information given by me on this application or in the hiring process is sufficient cause for rejection of this application. I also understand and agree that any such false, incomplete or misleading information discovered on this application or provided in the hiring process at any time after I am employed may result in my dismissal. I hereby authorize Advent Christian Village to investigate all statements contained in this application, to interview the references and previous employers listed in this application, and to obtain a report from a consumer reporting agency to be used for employment purposes in accordance with the Fair Credit Reporting Act. I authorize the references and previous employers listed to give Advent Christian Village all facts, opinions and evaluations concerning my previous employment and any and all liability whatsoever of whatever kind which may allegedly arise from furnishing such information to Advent Christian Village, including, but expressly not limited to, any liability for defamation or invasion of privacy. If I am offered employment, I understand that such an offer will be conditioned upon satisfactory results of a background investigation and/or Advent Christian Village medical examination or inquiry, including a drug screen test. If then employed, I understand that I will be required to serve a 90-day probationary period. I further understand that my employment and compensation can be terminated — with or without cause or notice, at any time — regardless of the successful completion of my probationary period at the option of either Advent Christian Village or myself. I understand and voluntarily agree as a condition of employment or my continued employment, that I may be requested by Advent Christian Village to submit to a urinalysis or other drug screen test and that my failure to take such test(s) when requested to do so or unsatisfactory test results will disqualify me from consideration for employment, or if I am then employed, may result in my immediate dismissal.
By typing in my name below I agree that I have completed this online application in good faith and want to be considered for work.
EMPLOYMENT APPLICATION CERTIFICATION*
I certify that I have read, understand and agree with the above.
Name*
First Middle Last
Date*
MM slash DD slash YYYY

Personnel Office

Street Address:
Carter Village Hall
10680 Dowling Park Drive
Live Oak, FL 32060

Mailing Address:
P.O. Box 4312
Dowling Park, FL 32064

Phone: (386) 658-5592
Fax: (386) 658-5160
Email: psmythe@acvillage.net

You may also listen to a list of current job opportunities at (386) 658-JOBS (5627). To apply in person, please come by the Personnel Office Monday thru Friday, 9:00 a.m. until 4:00 p.m.

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