• H.A.T.C.H. Employment Application

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  • Are you over 18 years of age?*
  • Do you own a car?*
  • Do you have a valid driver's license?*
  • Do you have a clean driving record?*
  • Date You Can Start*
     - -
  • Do you have current CPR/First Aid certification?*
  • Have you been tested for Tuberculosis in the last 2 years? We will need to have a copy of your results on file.*
  • Are you a U.S. citizen? If you are a permanent resident, please provide a copy of your permanent resident card.*
  • What shifts are you available?*
    Rows

  • Education

  • Highest level of Education:*
  • Graduated?*
  • Graduated?
  • Graduated?

  • Skills/Qualifications:

  • Have you worked with the intellectual/developmentally disabled population before?*
  • Are You Comfortable Providing Personal Hygiene Care?*

  • Current Employment:

  • May we contact current employer?*
  • Start Date:
     - -

  • Previous Employment:

  • Start Date:
     - -
  • End Date:
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  • Start Date:
     - -
  • End Date:
     - -

  • References

    Professional References Preferred
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  • Browse Files
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  • Cover Letter & Resume:

  • Upload a File
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  • Upload a File
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  • Send Application:

  • Letter of Agreement Regarding Potential Employment

     

    I hereby authorize and understand the following:             

    I authorize H.A.T.C.H. to check my references and employment history. The information that I have disclosed in the employment application is true and complete. I understand that if employed, any false statements on this application may result in my termination.

    It is also understood that this application is not intended to be a contract of employment, nor does this obligate the employer to employ me. In addition, the initial offer of employment is contingent upon my meeting all hiring criteria.

    I understand that my attending an interview does not guarantee that I will be employed by H.A.T.C.H.

    H.A.T.C.H. maintains the right that if I am employed and assigned a case, for any reason, I can be removed from that case at any time, with or without cause, and that such removal does not, by itself, constitute termination, and that if I am removed from a case, H.A.T.C.H. is under no duty to reassign me to another client.

    If I am removed from working with a client, I understand that it isn’t necessarily related to an incident. I understand that once I am removed from a case, I should not make further contact with the client or family and maintain professionalism at all times.

    I agree to attend the workshop and online training required of me annually. I also agree that I am required to have current CPR/First Aid certification at all times, have a routine TB test done every two years, and if there is a positive reading, I will follow up with getting a chest x-ray every five years, if required. I will submit current proof of auto insurance as I receive my renewed insurance policy cards. Additionally, I will complete the California Mandated Reporter training every two years.

    I am aware that I will be required to submit monthly reports and time sheets by the stated deadlines.

    I understand that H.A.T.C.H. Staff will do their best to connect me with a client who not only fits my abilities and skills but also my availability. I am aware that this may take time to coordinate.

    I am aware that once my Live Scan fingerprinting has been submitted, H.A.T.C.H. will receive notification of any subsequent arrests through the Department of Justice. I understand that due to the nature of the employment position, I must maintain a clean record.

    I understand that I must be eligible to work in the United States in order to be employed by H.A.T.C.H. and I will be required to fill out both the I-9 Employment Eligibility and the W-4 Income Tax Withholding forms.

    I understand that I will need to sign a consent form for a DMV driving history. 

     

     

     

     

     

     

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