JOB APPLICATION

  • No Place Like Home LLC

    Employment Application, please complete all fields. Thanks
  • Date of Birth*
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  • Position you Applied for*

  • If hired, when are you available to start work?*
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  • Are you a citizen of the United States?*
  • If you answered no, are you authorized to work in the United States?
  • Have you ever worked for No Place Like Home LLC in the past?*
  • Have you ever been convicted of any crimes?*

  • ATTESTING TO NO CRIMINAL RECORD

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    I do not have a felony conviction in this state or any other state, and I attest to not have been convicted of any sexual assault charges, other violent crime, assault, fraud, abuse, neglect or exploitation or pose a threat to the health, safety or well-being of a resident or have not had a finding by the department or any administrative agency in this or any other state for fraud, abuse, neglect or exploitation of any person.

  • Date*
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  • EDUCATION

    Tell us a little about your education background. Thanks
  • From*
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  • To*
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  • Did you graduate?*
  • If you answered no to the last question, did you complete you GED or a Certificate equivalent to a GED or High School Diploma?
  • To
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  • From
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  • Did you graduate ?

  • REFERENCES

    Please list TWO(2) professional references, ONE(1) family or friend. Thanks
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  • May we contact this reference ?*
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  • May we contact this reference ?*
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  • May we contact this reference ?*

  • PREVIOUS EMPLOYMENT

    Where have you worked in the last 5 years?
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  • From*
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  • To*
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  • May we contact this previous employer for a reference ?*
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  • From*
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  • To*
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  • May we contact this previous employer for a reference ?*
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  • From
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  • To
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  • May we contact this previous employer for a reference ?

  • MILITARY SERVICE

    Please only fill out if you service in the military. Thanks
  • From
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  • To
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  • DISCLAIMER AND SIGNATURE

    I certify that my answers are true and complete to the best of my knowledge.
    If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

  • Date*
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  • WORK AVAILABILITY

    As a future employee, we value and respect your time.  Full time, part time, or per diem please let No Place Like Home LLC know what works best for you. 
  • What amount of hour are you looking for*
  • Rows

  • If you could be one animal from the list below, what would it be?

    Please pick only one. Thanks 
  • *

  • COVID-19 SCREENING

    You must complete this form before entering No Place Like Home LLC buildings. Thanks

  • Symptom History

    Have you experenced any of the following symptons in the last 14 days?

    • Fever or chills
    • Cough
    • Difficulty breathing
    • fatigue 
    • Muscle aches
    • Headache
    • Sore throat
    • Congestion
    • Diarrhea
    • Nausea or vomitting 
  • If you answered YES to any of the above symptoms, please click YES. If you answered NO to all of the above symptoms, please click NO*

  • Contact History

  • In the last 14 days have you had close contact with anyone who has been diagnosed with COVID-19 ?*
  • In the last 14 days have you had close contact with anyone who has travelled to any other states or any other countries ?*

  • Travel History

  • In the last 14 days have you travelled to any other states or any other countries ?*

  • No Place Like Home LLC will review your form and contact you if needed. Our goal is to keep you, NPLH staff, and clients safe. Please make sure to wear a mask when entering all NPLH's buildings and client's homes.


    NPLH expects all potential and current employee’s to self-screen every day and report any of the above symptom directly to NPLH management before entering NPLH's buildings and client’s home.

  • Date*
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  • Should be Empty: