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  • Caregiver JOB Application

    HealthCare Assurance LLC
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  • Employment Desired:

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  • Skills/Qualifications:

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  • Education:

  • Mandatory Job History

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  • Previous Employment
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  • References:

    Please include at least three
  • Cover Letter & Resume:

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  • Background Check Disclosure and Authorization 

  • As part of the employment process, HealthCare Assurance LLC will obtain a background check report. This report may include information about your criminal history, employment history, education, and other relevant details necessary to evaluate your application for employment.

    Disclosure: I acknowledge that HealthCare Assurance LLC.  may obtain a background check report on me as part of the hiring process. This report may be used for employment purposes, including hiring, promotion, reassignment, and retention. In accordance with the Fair Credit Reporting Act (FCRA) and applicable state laws, I understand that:

    1. The background check will be conducted by a third-party consumer reporting agency.

    2. The information obtained will be used only for employment-related decisions.

    3. I have the right to request additional disclosures regarding the nature and scope of the investigation.

    4. I may be provided with a copy of the report and a written summary of my rights under the FCRA if any adverse action is taken based on the information in the report.

    Authorization: By signing below, I authorize HealthCare Assurance LLC and its designated agents to obtain and review my background check report. I release The Backround Check Company that we choose , its agents, and all parties involved from any liability for any damages that may arise from obtaining or using the background check report for employment purposes. I acknowledge that I have received a copy of this disclosure and authorization form and that I understand my rights. 

  • Back Round Check Information

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