Employment Application Form

The Phoenix Residence was recognized as a Top Workplace by The Star Tribune. Come work for the best!

To apply for a position with The Phoenix Residence, Inc. please fill out the following application. Required fields are marked with a (*). Once you have submitted your application you will receive a confirmation email informing you that we have received your application. We will call you regarding a possible employment in the event that a position requiring your skills, abilities, and availability should become available.

Applicant Information


High School




Please List three professional references

Reference #1

Reference #2

Reference #3

Previous Employment

Previous Employment #1

Previous Employment #2

Previous Employment #3

Additional Information

Military Service

Misc. Courses/Seminars Related to the Position

Certificates and/or Licenses Attained with Appropriate Numbers

Additional Information

Demographic Information (optional)

The Phoenix Residence, Inc. is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, The Phoenix Residence, Inc. invites applicants to voluntarily self-identify their race or ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal/state/local government for civil enforcement. When reported, data will not identify any specific individual.

Disclaimer and Signature


I understand that employment at this company is “at will”, which means that either I or the company can terminate the employment relationship at any time, with or without prior notice, and that no supervisor, manager or executive of the company, other than the president has any authority to alter the foregoing.

I understand that all offers for employment are on a contingency basis. If I am offered a conditional offer of employment, I will submit to drug and/or alcohol testing as outlined in the company's policy. I understand that I will be required to voluntarily submit to urinalysis, breath, blood or saliva, drug and alcohol testing. If the tests are positive or if I refuse to undergo testing, any conditional offer of employment will be withdrawn, provided that, where an offer is withdrawn on the basis of a positive alcohol test, the withdrawal is job related and consistent with business necessity.

If I am offered a conditional offer of employment, I authorize The Phoenix Residence, Inc. to submit a background study relevant to the licensing requirements of the facility. I understand that if I am disqualified by the investigating agency from a position allowing direct contact with persons receiving services from The Phoenix Residence, Inc. Programs, the offer may be withdrawn.

If I am employed, I understand that omissions and/or false information are sufficient cause for discharge. In consideration of my employment, I agree to confirm to the rules, regulations, and policies of The Phoenix Residence, Inc. Failure to abide is sufficient cause for discharge. By signing below, I grand the Phoenix Residence, Inc. permission to verify any information contained on this application. Any offer of employment is depending upon or subject to satisfactory verification of this information.