Contact Us:

463-466-7063

Email Us

[email protected]

3815 River Crossing Parkway, Suite 169

Indianapolis, IN 46240

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Application for Employment

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion,national origin, disability or other protected classifications. Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this aoolication. You may attach a resume but all questions must be answered.
Caring Hands Services LLC

PERSONAL DATA

Name
Address
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Do you have a High School Diploma or GED?

POSITION INFORMATION (Check all that you are willing to work )

Hours
Untitled
Untitled
Status
Are you authorized to work in the U.S. on an unrestricted basis?
Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.) Yes □ No If yes, explain:
Have you been told the essential functions of the job or have you been viewed a copy of the job description listing the essential functions of the job?
Can you perform these essential functions of the job with or without reasonable acco=odation?

QUALIFICATIONS

Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.

SPECIAL SKILLS

List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc.

REFERENCES

Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don't have three professional references, then list personal, unrelated references.

WORK HISTORY

Start with your present or most recent employment and work back. Use separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS)

May we contact your present employer?


I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if i am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. the employer may contact any listed references on the application. I acknowledge and understand that the company is an"at will"employer. therefore, any employee (regular, temporary, or oher type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
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BACKGROUND INFORMATION DISCLOSURE AND RELEASE

In connection with my employment application with Caring Hands Services, I understand that consumer reports which may contain public record information may be requested. These reports may include the following types of information: names and dates of previous employers, public records, credit data, bankruptcy proceedings, eviction and criminal records, etc., from federal, state and other agencies which maintain such records.
I AUTHORIZE WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY SINCERE SERVICES TO FURNISH THE ABOVE-MENTIONED INFORMATION.
I hereby authorize procurement of consumer and background report(s). I understand that if hired, this authorization shall remain on file and serve as an ongoing authorization for to procure consumer and background reports at any time during my employment.
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