Employment

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Email: admin@archangelhomecarenmb.com

ArkAngels HomeCare Services
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  1.  
    References:
    Name Address Phone Number Occupation
     
    Educational Data
    High School
    School Name School Address School Phone
    # of Years Completed Major Course of Study Degree
     
    College
    School Name School Address School Phone
    # of Years Completed Major Course of Study Degree
     
    Graduate School
    School Name School Address School Phone
    # of Years Completed Major Course of Study Degree
     
    Trade, Business, Craft School, ect.
    School Name School Address School Phone
    # of Years Completed Major Course of Study Degree




  2.  
    Employment Experience
    List the previous jobs (last 4, most recent 1st). Account for all time periods including unemployment, self employment and military service.
    Employer
    Date Employed
    From:To:
    Immediate Supervisor
    Address:
    Job Title
    Hourly Rate/Salary
    Starting:Final:
    Phone Number
    Work Performed:
    Reason for leaving:
    Employer
    Date Employed
    From:To:
    Immediate Supervisor
    Address:
    Job Title
    Hourly Rate/Salary
    Starting:Final:
    Phone Number
    Work Performed:
    Reason for leaving:
    Employer
    Date Employed
    From:To:
    Immediate Supervisor
    Address:
    Job Title
    Hourly Rate/Salary
    Starting:Final:
    Phone Number
    Work Performed:
    Reason for leaving:
    Employer
    Date Employed
    From:To:
    Immediate Supervisor
    Address:
    Job Title
    Hourly Rate/Salary
    Starting:Final:
    Phone Number
    Work Performed:
    Reason for leaving:
     
    Employment History:






  3.  
    Emergency Contact Information
    In Case of Emergency, Please Contact:
     
    Consumer Report Notification


    Notification to individual that a consumer report may be obtained:
    In compliance with the amended Fair Credit Reporting Act and applicable state law, this notice is to inform you that a consumer report may be obtained in connection with you application for employment or your current employment with ArchAngel Home Care LLC.

    A "Consumer Report" is any written, oral, or other communication of any information by a consumer reporting agency bearing on a consumer's credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living which is used or expected to be used or collection in whole or in part for purpose of serving as a factor in establishing the consumer's eligibility.

    A "Consumer Report" is any information obtained from a "Consumer Reporting Agency" and may include, but not limited to the following: Criminal history records, drug screening tests, driving records, school attendance records, school transcripts, military service records, credit records, records of former addresses, and any other public information or consumer reports.

    I certify that I have read the agreement above and agree that the company may obtain a consumer report on me for use in connection with my application. If I am hired or contracted with the company, I authorize the company to obtain this report. This application will be considered "active" for a maximum period of thirty (30) days. If you wish to be considered for employment or contract after that time, you must re-apply. Do not agree unless you fully understand this message.

     
    I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
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