The applicant is required to attached to this application form an updated Resume.
I understand that any false statements or material omissions made as a part of this application will disqualify me from further consideration for employment, and if discovered later, will be grounds for discharge.
I also understand that any offer of employment is contingent upon the results of a pre-employment medical examination, drug screen, criminal background and reference checks.
I hereby authorize my former employers to release all information during or after my employment, without prior notification.
This authorization releases the aforesaid parties and ASSURE Home Healthcare, Inc. from any liability for the collection and reporting of this information.
ASSURE Home Healthcare, Inc. does not discriminate in hiring or employment on the basis of sex, color, marital status, religion, sexual orientation, national origin, age, disability, military status, or any other protected category.
No question on this application is intended to secure information to be used for such discrimination.
I understand that if I am hired by ASSURE Home Healthcare, Inc. , my employment is “at will” and thus, may be terminated by me or by the employer at any time with or without cause, for any reason. No one other than the President of the agency has the authority to enter into an agreement contrary to the foregoing, and any such agreement must be in writing and signed by both the President and me.
Finally, I will willingly submit all documents as required for hiring or employment.