Application For Employment

Application For Employment

Allen Home Care Services, Inc. is an equal opportunity employer and does not discriminate because of race, creed, color, sex, marital status, age, national origin, disability, veteran status or sexual preference or other protected status.

If yes, please give details on a a separate sheet of paper. A conviction will not necessarily disqualify applicant from the job for which you are applying.

EDUCATION

High School

College

Graduate School/Business/Technical

PROFESSIONAL LICENSE

EMPLOYMENT HISTORY (Most Recent First)

Employed (Month and Year)

Weekly Or Yearly Pay

Employed (Month and Year)

Weekly Or Yearly Pay

Employed (Month and Year)

Weekly Or Yearly Pay

Employed (Month and Year)

Weekly Or Yearly Pay

I hereby authorize Allen Home Care Services, Inc. to fully investigate my record and work qualifications either before or during my employment, and to facilitate such investigation. I also hereby authorize any persons having knowledge thereof to give such information to Allen Home Care

Services, Inc. upon request.


I certify that all statements made by me on this application for employment and accompanying resume are true and correct to the best of my

knowledge and belief, and agree that any misrepresentation, falsification or omission of facts thereon shall be sufficient cause to deny my employment or if employed, to justify my dismissal.


I understand that if employed by Allen Home Care Services, Inc., such employment is not for any definite period but is at will and may be terminated

by either party at any time and without prior notice.


I understand that any offer of employment is conditioned on my ability to establish eligibility under the Immigration Reform and Control Act of 1986.

We’d love to hear from you! Call our friendly team at (573) 472-2644.

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