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  • No Place Like Home LLC

    Employment Application, please complete all fields. Thanks
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  • 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.

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  • EDUCATION

    Tell us a little about your education background. Thanks
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  • REFERENCES

    Please list TWO(2) professional references, ONE(1) family or friend. Thanks
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  • PREVIOUS EMPLOYMENT

    Where have you worked in the last 5 years?
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  • MILITARY SERVICE

    Please only fill out if you service in the military. Thanks
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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.

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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. 
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  • 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 
  • Contact History

  • Travel History

  • 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.

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