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Employment

We want to thank you for taking the time to fill out an application with our company. Please see the list below for all the documentation needed for employment.

  • AUTO INSURANCE
  • CPR CARD
  • DRIVERS LICENSE
  • PROFESSIONAL LICENSE
  • PHYSICAL
  • SOCIAL SECURITY CARD
  • TB TEST RESULTS
  • CEU'S
 





 
Full Time
Part Time
PRN
Weekends


 

Only US citizens or aliens who have a legal right to work in the US are eligible for Employment. Can you, upon employment provide genuine documentation establishing your identity and eligibility to be legally employed in the United States?

Yes No
Have you plead no contest, been found guilty, or had adjudication withheld by the court, judge or jury for a crime that is a felony or first degree misdemeanor?

Answering "yes" does not constitute an automatic bar to employment. Factors such as date of offense, seriousness and nature of the violation(s), rehabilitation and position applied for will be taken into account.

Yes No
Have you ever been employed by All At Home? Yes No
How were you referred to All At Home?
Newspaper Advertisement
Internet Advertisement
Employment Agency
Current Employee
Job Fair
Other
 
PREVIOUS EMPLOYMENT HISTORY
Please list previous employment information beginning with the most recent employer below.
 

 

 
 

 

 
 

 

 
 
Yes No


Yes No
 
Home Health
Microsoft Excel
Microsoft Power Point
Management Experience
Medicare - Part A
Microsoft Word
Microsoft Outlook
Sales Experience

 


Please list all health care licenses or certifications below and provide a copy of each with your application.

Please list your Education below:

I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE. I UNDERSTAND THAT THE FALSIFICATION, MISREPRESENTATION OR OMISSION OF FACT ON THIS APPLICATION (OR ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS) WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN OR HOW DISCOVERED.

I authorize investigation of all statements I have made on this application. I authorize past employers, all references and any other persons to answer all questions concerning my ability, character, reputation and previous employment record. I release all such persons from any liability or damages arising from disclosure of such information. I agree to submit to a pre-employment physical, if required, and understand that employment is contingent upon satisfactorily completion of it and any other testing procedures. I acknowledge the right of All at Home to require employees to take medical examinations in connection with my physical ability to perform the job, any background screenings for misconduct or illegal acts, drug screening or motor vehicle license check. If employed, I understand that ALL AT HOME is commited to providing quality care to our clients. I agree to share this commitment without reservation. I further understand that due to the nature of services provided, an exceptional record of attendance and dependability is required of all employees. I understand that my application will normally be kept for 30 days after which time I would need to re-apply. Questions regarding this statement should be directed to any interviewer before signing. The application, when completed in its entirety, will be given every consideration, but its receipt does not imply that the applicant will be employed.

REQUEST FOR TRANSCRIPT OF ACADEMIC RECORDS: I hereby authorize the educational institutions listed on the Employment Application to release a copy of the official transcript of my academic record.

 

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