Please list three of your previous work experiences, beginning with the most recent:

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize Oak Terrace Health Care to make an investigation of any of the facts set forth in this application. This Application for Employment is not a contract and cannot create a contract. If employed by Oak Terrace Health Care, I agree to abide by it’s policies and procedures. I understand that my employment at Oak Terrace Health Care is “at will”, which means either I or Oak Terrace Health Care can terminate the employment relationship at any time, with or without prior notice, with or without cause for reason not prohibited be statute. I understand that any offer of employment made to me is conditional until I successfully complete the fit to work screen, drug testing, background check and provide proof that I may legally be employed in the United States. I understand that if I am employed that emergency conditions may require me to temporarily work shifts other than the one for which I am applying and agree to such scheduling change as directed by my department manager. I understand that this Application for Employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.