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Personal Information

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however be considered. Any arrest with or without conviction may delay the hiring process.)

Education, Training and Experience

High School

College / University

Vocational School


Employment History

List most recent employment first, include gaps of employment and fill out completely.

Employer 1

Employer 2

Employer 3

Employer 4

An Equal Opportunity Employer
Hillandale Communities are an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accomodation in the application and/or interview process should notify a representative of the organization.

Applicant's Statement
I attest by clicking the submission button below that I have given to Hillandale Communities, true and complete information on this application. No requested information has been concealed. I authorize Hillandale Communities to contact references provided for employment reference checks. IF ANY INFORMATION I HAVE PROVIDED IS UNTRUE, OR IF I HAVE CONCEALED MATERIAL INFORMATION, I UNDERSTAND THAT THIS WILL CONSTITUTE CAUSE FOR THE DENIAL OF EMPLOYMENT OR IMMEDIATE DISMISSAL.

I agree that all questions asked and information released in good faith shall be privileged, and I expressly release Hillandale Communities, and any of their authorized representatives, from any and all liability arising from questions asked, information released or statements made.

Background Check Policy
In compliance with Ohio Administrative Code 173-9, Hillandale Communities will be conducting criminal records check for applicants under final consideration for employment and for current employees at least once every 5 years within 30 days after the fifth anniversary date of employment. The criminal records check includes BCI&I as well as database checks that include the following:

Any current employee who has been charged or convicted of any disqualifying offense listed in Administrative Code 173-9-06 must report the offense to Human Resources at 513-326-0040 upon charge and/or conviction. Failure to do so may result in voluntary termination of employment.

Database checks are free; however, there is a $22.00 fee charged to the employee for BCI&I checks. The fee will be deducted from the employee?s paycheck at the time of the BCI&I background check.

Applicants under final consideration for employment must provide proof of Ohio residency for a five-year period immediately preceding the date the criminal background check is conducted. If the applicant is not able to provide this information, there will be an additional charge of $24 for an FBI background check to be conducted.

I agree to the policies and carrying out of background checks laid out above