Skills & Training
Please list three professional references
Date served: From* -to*
Disclaimer and Signature
I hereby certify that the information contained in the employment application I submit to Reliable Home Healthcare, LLC is true and complete to the best of my knowledge. I understand that material omissions or falsification of this application or interview in any detail may result in my disqualification from consideration for employment or for dismissal from employment.
I authorize Reliable Home Healthcare, LLC to investigate statements contained in this application for employmen and to secure additional information if necessary. I authorize my previous employers, educational institutions, and all other individuals and organizations listed in this application form to give information about my employment, work habits, and character.
I agree that Reliable Home Healthcare, LLC and my previous employers, educational institutions, and all other individuals and organizations listed in this application will not be held liable in any respect if an employment offer is not made, is withdrawn, or if my employment is terminated because of misrepresentations or omission of requested information.
I understand that upon offer and acceptance of a position with Reliable Home Healthcare, LLC I will be required to immediately furnish documentation establishing my identity, licensures, and eligibility to be legally employed in the United States.
I understand that Reliable Home Healthcare, LLC is in no way obligated to provide employment, and also that I am in no way obligated to accept employment, if offered. This application does not bind either party, and the statements contained herein do not constitute and should not be interpreted to constitute any sort of contract of employment for a specific period of time.
I understand that employment at Reliable Home Healthcare, LLC (“the Company”) is employment at-will. Employment at-will may be terminated at the will of either Reliable Home Healthcare, LLC me or the Company. Employment may be terminated with or without cause at any time by me or by the Company. It is further understood that this "at will" employment relationship may not be changed or modified by written document or by conduct unless such changes is specifically acknowledged in writing by an authorized executive of this organization.
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 period should inquire as to whether or not applications are being accepted at this time.
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