Employment Application

Complete the application and click "Submit". One of our Human Resource representatives will contact you regarding the status of your application.

Please note that all fields with an asterisk(*) are required fields.

Personal Information


Employment Desired



List two please, starting with the present or last employer first. If no prior work experience, please proceed to references below.







Please provide your qualification details.
Name & Location of School Select Last Year Completed Major Course Diploma/Degree
High School
Business or Trade School


Professional References

Please provide two professional references.



Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not intended to be a contract of employment. In the event of employment, I understand that any false or misleading information given in my application or interview(s) may result in immediate discharge. I also understand that, if hired, regardless of any oral representations to the contrary, the employment relationship between myself and the Company is terminable-at-will, so that both the Company and I remain free to choose to end our work relationship at any time for any or no reason. Any changes in this employment relationship must be made in writing. I also understand that any offer of employment may be conditional upon a health evaluation by a doctor selected by the Company, to determine whether I can perform the job duties. In addition, I understand a drug or alcohol test may be required depending upon Company policy. I authorize the Company to make a thorough investigation of my past employment, education and job-related activities and I release from liability a/l persons, companies, and corporations supplying such information including, but not limited to . the employers stared in this application. I also indemnify this Company against any liability which might result from making such investigation. . Additionally, I authorize the Company to supply my employment record, in its sole discretion, in whole or in part, to any prospective employer, government agency, or other party, with an interest that the Company deems appropriate.

I agree with all terms & conditions.

Knollwood Retirement Community

921 Knollwood Drive
Caseyville, IL 62232
Tel.:(618) 394-0569

20 Jacksonville Place
Jacksonville, IL 62650
Tel.: (217) 245-5101