Employment Application

  • Position Information

  • Personal Information

  • Telephone Numbers

  • Work Availability & Experience

  • Education

  • Employment History

    Complete in order with most recent employer first.
  • Resume

  • Employment Eligibility

    If no, you may be required to provide authorization to work
    Proof of identity and eligibility will be required upon employment
    e.g. H-1B status
    A conviction will not necessarily result in the denial of employment
  • References

    Please provide three references (not relatives).
  • Equal Employment Opportunity Commission (EEOC) Information

    It is our policy to provide equal employment opportunity to all applicants and employees without regard to race, color, religion, sex, age, national origin, disability or status as a special disabled, Vietnam, or other eligible veteran, and to affirmatively seek to advance the principles of equal employment opportunity. Various agencies of the United States government require employers to collect information about applicants. Information requested in this section is for the purposes of compliance with these record keeping requirements and to determine recruiting and employment patterns. Such information will in no way affect the decision regarding your application for employment. This data will be kept confidential. Completion of this section is voluntary and is not a requirement for employment.
  • Authorization

    The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same

    I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

    I understand that I am required to abide by all rules and regulations of the company.
  • Type Name
  • This field is for validation purposes and should be left unchanged.

All About Kids Home Health does not discriminate against any person on the basis of race, color, religion, national origin, disability, or age in admission, treatment or participation in its programs, services and activities or in employment.