APPLY ONLY
  • EMPLOYMENT APPLICATION

  • Date
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • What shift schedule would you prefer?
  • What days are you available?
  • Have you ever worked for our company before?
  • Are you authorized to work in the United States?
  • Are you under the age of 18?
  • HELPING HANDS HOME MANAGEMENT LLC | HELPING HANDS HOME HEALTH MANAGEMENT LLC

    Federal law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with these laws, we will verifythe status of every individual offered employment with the Company. In this connection, all offers of employment are subject to verification of the applicant's identity andemployment authorization and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization.

    No discrimination because of race, color, religion, sex, national origin, disability, age, or military or veteran status in accordance with federal law. Inaddition, we complies with applicable state and local laws governing non-discrimination in employment in every jurisdiction in which it maintainsfacilities. Our company also provides reasonable accommodation to qualified individuals with disabilities in accordance with applicable laws

  • WORK HISTORY

    Please include two past experiences or attach resume. If you attach a resume, you do not have to put in any past experiences.
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  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • BACKGROUND INFORMATION

  • Do you have any professional licenses or certifications?
  • EDUCATION

    please fill out based on level of education you've completed
  • Did you graduate?
  • REFERENCES

    Please include at least 2 people
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you capable of performing the essential functions of the job for which you are applying with or without a reasonable accommodation?
  • Are you allergic to any animals?
  • BACKGROUND CHECK AUTHORIZATION

    Please complete honestly and thoroughly. Sign and date at the end.
  • Dates of Residence
     / /
  • Dates of Residence
     / /
  • Dates of Residence
     / /
  • Authorization

    I hereby authorize Helping Hands Home Management LLC OR Helping Hands Home Health Management LLC and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the background check may include, but is not limited to, the following areas: verification of social security number, credit reports, current and previous residences, employment history, education background, character references, drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions, driving records, birth records, and any other public records.
  • Date
     / /
  • Date
     / /
  • HELPING HANDS HOME MANAGEMENT LLC | HELPING HANDS HOME HEALTH MANAGEMENT LLC

  • I have submitted the attached form to the company for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate the company to further process my application.

    My signature below attests to the fact that the information that I have provided on my application, resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from the Company.

    I also affirm that I have not signed any kind of restrictive document creating any obligation to any former employer that would restrict my acceptance of employment with the Company in the position I am seeking. I understand that this application is not an employment contract for any specific length of time between the Company and me, and that in the event I am hired, my employment will be "at will" and either the Company or I can terminate my employment withor without cause and with or without notice at any time. Nothing contained in any handbook, manual, policy and the like, distributed by the Company to its employees is intended to or can create an employment contract, an offer of employment or any obligation on the Company's part. The Company may, at its sole discretion, hold in abeyance or revoke, amend or modify, abridge or change any benefit, policy practice, condition or process affecting its employees.

    References: I hereby authorize the company and its agents to make such investigations and inquiries into my employment and educational history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquires connected with my application and I specifically authorize the release of information by any schools, businesses, individuals, services or other entities listed by me in this form. Furthermore, I authorize the company and its agents to release any reference information to clients who request such information for purposes of evaluating my credentials and qualifications.

    Temporary/Contract Employment: If employed as a temporary or contract employee, I understand that I may be an employee of the company and not of any client. If employed, I further understand that my employment is not guaranteed for any specific time and may be terminated at any time for any reason. I further understand that a contract will exist between the company and each client to whom I may be assigned which will require the client to pay a fee to the company in the event that I accept direct employment with the client, I agree to notify the company immediately should I be offered direct employment by a client (or by referral of the client to any subsidiary or affiliated company), either fora permanent, temporary (including assignments through another agency), or consulting positions during my assignment or after my assignment has ended.

  • DATE
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    • Messaging frequency may vary.
    • Message and data rates may apply.
    • You can opt out any time by texting STOP.
    • For assistance, text HELP or visit our website at https://www.hhwecare.com.
    • Visit https://www.helpinghandswecare.com/policies/privacy-policy for privacy policy and https://www.helpinghandswecare.com/policies/privacy-policy for Terms of Service.
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