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Employment Application

Type of phone

Type of phone

Are you 18 years old or older?

Are you legally eligible for employment within the United States?

Have you ever been convicted of a felony?

Do you have any relatives employed by Faith Hospice?

Have you ever been employed by Faith Hospice?

Are you applying for

Would you consider working

Did you graduate?

Did you graduate?

Did you graduate?

Are you currently

Are you eligible for

TERMS OF AGREEMENT: I certify that the information contained in this application is true and correct to the best of my knowledge and agree to have any of the statements checked by Faith Hospice unless I have indicated to the contrary. I authorize the references listed above to provide Faith Hospice any and all information concerning my previous employment and pertinent information that they may have. Further, I release all parties and persons from any and all liability of all damages that may result from furnishing such information to Faith Hospice or any of its agents, employees or representatives. I understand that any misrepresentation, falsification or material omission of information on this application may result in failure to receive an offer, of if am hired, in my dismissal from employment. In consideration of my employment, I agree to confirm to the rules and standards of the company and agree to my employment and compensation can be terminated at will, with or without cause, and with or without notice at any time, either at my option or at the option of the company.

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