Hands of Rowan Employment Application

HANDS LLC OF ROWAN participates in E-Verify – Federal Law requires
all employers to verify the identity and employment eligibility to all persons
hired to work in the United States.

All direct support employees may work schedules that include weekend
and holiday hours Specify Days & Hours Available

Position requires valid Driver’s License and Basic Computer knowledge.

HANDS LLC OF ROWAN IS A SMOKE-FREE AGENCY

Please provide at least THREE references. (Two business, 1 personal)

Please Identify with P or B

Licensure: (To be completed by registered professionals and certified technical applicants only.) For purposes of this section, references to the term “licensed” also apply to the terms “registration” and “certification”.

I certify that the facts set forth in my application for employment are true,
complete and correct. I understand that if employed, false statements on this
application shall be considered sufficient cause for involuntary termination. You
are hereby authorized to make any investigation of my personal, financial,
employment history and work record through any credit agencies or bureaus of your choice.

I understand that if I am hired, the rules and regulations of this employer, and any personnel procedures, do not constitute a contract of employment.
I understand that all employees of H.A.N.D.S LLC OF ROWAN are employed at will and that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the employer or me.

I understand that if hired, I must undergo a drug screen. I further understand that no supervisor or representative of H.A.N.D.S LLC OF ROWAN, other than the Chief Executive Officer or his/her designee, has any authority to enter into any
offer for employment.

H.A.N.D.S LLC OF ROWAN is an equal opportunity employer. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, age, genetic information, national origin, disability, Vietnam era status, or any other basis prohibited by law.

Drug Test Consent: I am aware that HANDS LLC OF ROWAN is committed
to providing a drug-free workplace which promotes the health, safety, and
welfare of individuals and employees. I understand that all applicants offered
employment at HANDS LLC OF ROWAN must pass a drug test. I also understand that if HANDS LLC OF ROWAN employs me, then I will be
subject to the Drug and Alcohol Free Workplace Policy. This policy includes
random drug testing, and drug and alcohol testing for cause and post-accident. Employees who refuse to comply with any request for a urine and/or blood specimen or otherwise fail or refuse to abide by the policy will be subject to termination. As a job applicant, I will consent to providing a urine specimen for purposes of having a drug test and release HANDS LLC OF ROWAN from any liability arising from the test. I understand that a confirmed and unexplained positive test will result in the denial of employment with HANDS LLC OF ROWAN. With the offer of employment, I understand that failure to report for a drug screen as scheduled will result in the denial of employment with HANDS LLC OF ROWAN unless the failure is due to circumstances deemed to be beyond my control, as determined solely at the discretion of the agency.

Background Checks: HANDS LLC OF ROWAN performs background checks on all applicants for employment. These reports may include the following types of information: names and dates of previous employers, reason for termination of employment, work experience, etc. I further understand that such reports may contain public record information concerning my driving records, North Carolina Health Care Registry, criminal records, etc., from federal, state, and other agencies that maintain such records. Based on the information received, an employment opportunity may be denied.