JM Home Care Services Employment Application

JM Home Care Services Application Acknowledgment

Thank you for expressing interest in JM Home Care. We are excited to see if you will be a good fit for our operation. Please review and certify that you have read the application acknowledgment.

Mission Statement

Our mission at JM Home Care Services is to create a safe and nurturing environment for children with diverse needs in Texas. We are dedicated to providing a comfortable and unique setting where children can thrive emotionally, physically, spiritually, socially, and developmentally. Through our commitment to love and support, we strive to foster the growth and well-being of every child in our care.

Vision

Creating an empowering environment to effectively cultivate the next generation of confident and compassionate leaders.

As a apart of your pre-screening, you consent to completing all employment verification tasks. An applicant or employee's consent to submit to drug testing is required as a condition of employment, and the refusal to consent may result in refusal to hire the applicant and disciplinary action, including discharge, against the employee for a refusal. Please review the tasks below and certify that you understand which expenses are reimbursable and which are applicant expenses only.

The following expenses are reimbursed after the employee completes the required job training:
- TB test
- Fingerprints
- Supervised training (half time)
The following expenses will not be reimbursed regardless of the employment outcome:
- CPR certification
- Drug test
NOTE: MUST HAVE A PHOTO OF YOUR GOVERNMENT ISSUED ID AND SOCIAL SECURITY CARD TO COMPLETE APPLICATION.
I acknowledge that I have read and understand the mission and vision of JM Home Care. I also understand that I will be responsible for employment expenses and that only the aforementioned expenses above will be reimbursed upon full employment installment.*

Clear

Job Skills/Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying*

0/3000
Note: JM Home Care Services complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.
Education and Training

High School/GED
School Name*
Location (City, State)*
Year Graduated*
Degree Earned*
Education and Training

College/University
1. College/University Name
Location (City, State)
Year Graduated
Degree Earned
2. College/University Name
Location (City, State)
Year Graduated
Degree Earned
Education and Training

Vocational School/Specialized Training
1. Vocational School/Specialized Training
Location (City, State)
Year Graduated
Certificate/License Earned
2. Vocational School/Specialized Training
Location (City, State)
Year Graduated
Certificate/License Earned
3. Vocational School/Specialized Training
Location (City, State)
Year Graduated
Certificate/License Earned

Are you currently or previously a member of the Armed Forces?*

YesNo
What branch of service?
How long did you serve?
What was your rank when discharged?
What military skills do you possess that would be an asset for the positions you are applying for

Previous Employment
1. Employer Name*
Job Title*
Supervisor Name*
Address

Employer Address

Street Address Line 2

City State Zip CodeState / Province

Postal / Zip Code
Phone Number*
Start Date*

MonthDayYear
Date
End Date (Insert today's date if current)*

MonthDayYear
Date
Reason for Leaving*
2. Employer Name*
Job Title*
Supervisor Name*
Address

Employer Address

Street Address Line 2

City State Zip CodeState / Province

Postal / Zip Code
Phone Number*
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Reason for Leaving*
3. Employer Name*
Job Title*
Supervisor Name
Employer Address
City State Zip Code*
Phone Number*
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Reason for Leaving*

References & At Will Employment
Please provide 3 personal or professional reference(s):
1. Reference*
Phone Number*
Please enter a valid phone number.
2. Reference*
Phone Number*
Please enter a valid phone number.
3. Reference*
Phone Number*
Please enter a valid phone number.
Driver's License or Government Issued ID (Front Only)*

Cancelof
Social Security Card*

Cancelof
Driver's License or ID Number (digits only)*
Social Security Number (digits only)*
Date of Birth*

MonthDayYear
Date
The relationship between you and JM Home Care Services is referred to as "employment at will". This means that your employment can be terminated at any time and for an reason, with or without cause, with or without notice, by you or JM Home Care Services. No representative of JM Home Care Services has the authority to enter into any agreement contrary to the foregoing "employment at will" relationship. By signing below, you understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at will employment status, except for a written statement signed by you and either our Executive Director or Chief Executive Officer.
Applicant Signature

Clear
Date*

MonthDayYear
Date
Should be Empty:

Job Skills/Qualifications

Education and Training

Education and Training

Education and Training

Previous Employment

References & At Will Employment