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Forms

	SIX FORMS must be completed for application for employment. All are available on this website.
		Click to download an Employment Application Form.
		Click to download an Reference Release Form.
		Click to download an Iowa Health Care Facility (135C) Record Check. (This is an Iowa Criminal History/Dependent Adult Abuse Check required by the State of Iowa).
		Click to download Drug Testing of Prospective Employees Form.
		Click to download the Applicant Release ESIQ Form. Please complete the lower portion of the first page of this four-page document. Return to BLC Human Resources only the first page; the remainder is the Summary of your rights under the "Fair Credit Reporting Act." While BLC does not do credit reporting checks as part of the applicant screening process, this law provides your rights so far as this type of background screen is concerned.
		Click to download the Iowa Smokefree Air Act Form.
	The application process will be "delayed" until ALL SIX forms have been received by the Human Resources Department.
	After downloading the PDF files:
		1) Open each file (requires Adobe Acrobat Reader - a free download from Adobe.com). 2) In the PDF toolbar immediately above the document, click on "Actual Size" or "100%." 3) Print the document. 4) Complete the Application Form. 5) Complete the Record Check Form (only the 8 blank fields designated by an "X").
	Mail the Completed Application Form and Record Check Form to:
		Bethany Life Communities Attn. Coordinator Human Resources Department 212 Lafayette Street Story City, IA 50248

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© Copyright 2008 Bethany Life Communities
Bethany Life Communities, 212 Lafayette Street, Story City, IA 50248