I certify that the answers given in the Employment Application are true and complete to the best of my knowledge. The facility may investigate all statements made in this application and I understand that if any answer or information is not true, accurate or complete, I may not be hired, or if hired, I may be discharged. I understand that I may be the subject of a criminal background check.
I authorize the employer to investigate all statements contained in this Employment Application as well as my character and qualifications. I release the employer from all liability for acts performed in good faith and without malice in connection with the evaluation of my application.
I authorize my prior employers, references, and others with information regarding my work, educational history or my character to provide the employer with all information requested and to cooperate fully with the investigation of my character and qualifications. I also release those employers, references and others from all liability for providing information in good faith and without malice.
I understand that this application is not a contract of employment. This company is an at will employer as allowed by applicable state law. This means that regardless of any provision in this application, if hired, the company or I may terminate the employment relationship at any time, for any reason, with or without cause or notice. I understand that if hired I am required to abide by all rules and regulations of the facility.
I understand that, if hired, I will be responsible to fulfill all aspects of the job. I understand that the failure to fulfill any aspect of the job may be grounds for termination. I also understand that I may be required to take a physical examination conducted by a physician of the employer’s choosing after I am given a qualified offer of employment.
ABRIDGE CARE CONCEPTS, LLC AN EQUAL OPPORTUNITY EMPLOYER
Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability or any other category protected by applicable federal, state, or local laws.
If hired, you will be required to submit documents sufficient to establish employment authorization and identify compliance with the Immigration Reform and Control Act of 1936. While you need not provide this proof of citizenship or immigration status at the time you are interviewed, please know you must be prepared to do so immediately upon being hired.
All applicants: Do not include convictions that were sealed, eradicated, erased, annulled by a court, expunged, or convictions that resulted in referral to a diversion program. Criminal convictions or arrests will not automatically disqualify an applicant from a particular job. The company will consider the nature of the crime, its seriousness, the substantial relation to the position’s functions and qualifications, the number of occurrences, the applicant’s age at the time of the crime, the time elapsed since the crime, the applicant’s entire work and educational history, employment references and recommendations and the business necessity of any exclusion when required by law.
Rate your skills as appropriate to the position applying for:
1 = excellent with experience 2 = average with experience 3 = poor with experience 4 = no opportunity for experience
List the names of additional work related references we may contact. Individuals with no prior work experience may list work or volunteer-related references.
Please list the names of personal references (not previous employers or relatives) who know you well that we may contact.
Please list most current positions first. Include any military duty or explain time lapse of no employment.
I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license for the state in which I reside and automobile liability insurance in an amount equal to the minimum amount required in the state I reside.
I understand that the company may now have, or may establish, a drug free workplace or drug and/or alcohol testing program consistent with applicable federal, state and local law. If the company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state and local law. I also understand that all employees of the location, pursuant to the company’s policy and federal, state and local law may be subject to urinalysis and blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug test is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the company’s policies and applicable federal, state and local law.
If employed by the company, I understand and agree that the company, to the extent permitted by federal, state and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances my personal property.
I understand and agree that as a condition of employment and to the extent permitted by federal, state and local law I may be required to sign confidentiality, restrictive covenant, and/or conflict of interest statement as well as an agreement to arbitrate.
I certify that all the information on this application, my resume, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.
I understand that this application is not a contract of employment. This company is an at will employer as allowed by applicable state law. This means that regardless of any provision in this application, if hired, the company or I may terminate the employment relationship at any time, for any reason, with or without cause or notice. Nothing in this application or in any document or statement, written or oral, shall limit the right to terminate employment at will. No officer, employee or representative is authorized to enter into an agreement – expressed or implied – with me or any applicant for employment for a specified period of time unless such an agreement is in a written contract signed by the owner of the company.
If hired, I agree to conform to the rules and regulations of this company, and I understand that the company has complete discretion to modify such rules and regulations at any time, except that it will not modify its policy its policy of employment at will.
I authorize the company or its agents to confirm all statements contained in this application and / or resume as it relates to the position I am seeking and to the extent permitted by federal, state and local law. I agree to complete any requisite authorize forms for the background investigation.
I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state and local law, any party delivering information to the company for its duly authorized representative pursuant to this authorization from any liability, claims, charges, or cause of action which I may have a as a result of the delivery or disclosure of the above requested information. I hereby release from liability the company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information.
If hired by this company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States. I understand this company employs only individuals who are legally eligible to work in the United States.
This application will be considered active for a maximum of sixty (60) days. If you wish to be considered for employment after that time, you must reapply.
I certify that all the information on this application is true, accurate, and complete.
Yes, I understand and agree with the terms of this application