Wyoming Compassionate Home Care Job Application
Please fill out the job application as thoroughly as possible so that we may get the best idea of your qualifications.
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Applicant e-mail Address *
First Name *
Last Name *
Phone number
Mailing Address (Street) *
Address City *
Address Zip Code *
If hired, can you furnish proof that you are eligible to work in the United States? *
Do you acknowledge that you MUST pass a background check in order to work with our agency? *
Are you 18 years of age or older? *
Have you ever been employed by this company before? *
Position for which you are applying (must be completed for application to be considered). **Check all that apply *
Required
Are you applying to work for a specific client listed on the CHC website? *
Level of Education Completed *
Do you have a valid driver's license? *
Do you have access to a vehicle? *
For which location are you applying to work? *
How far are you willing to travel? *
Where did you hear about this job? *
Are you interested in working full time or part time? (Check all that apply) *
Required
What hours are you available to work? (Check all that apply) *
Required
What days are you hoping to work?  (Check all that apply) *
Required
Have you performed personal cares before and/or are you willing/able to learn to do personal cares? *
When are you available to start work? *
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Please submit your resume to eoberfeld@compassionatehomecaremn.com or copy and paste in the space below.
Please carefully read the entire statement below and sign. Once you sign the Agreement form, your form(s) are sent to the hiring manager and you will not be able to make changes online. If you need to make a change after signing or have a question, contact the hiring manager. I certify that the facts set forth in this application are, to the best of my knowledge, true and complete. I acknowledge that CHC may rely on my representations in this application in making its hiring decision. I understand that any false statement or omission of information submitted on this application may result in my not being hired or, if discovered later, my immediate discharge.I authorize investigation of all statements contained herein and authorize the references and previous employers listed above to give CHC any and all information requested concerning my previous employment and any pertinent information they may have, personal or otherwise. I understand that the results of such an investigation may be used to determine whether I will be hired. I hereby release said references, investigators, previous employers and CHC from all liability for any damage that may result from furnishing or receiving this information.I further agree that, if employed, I will conform my conduct to CHC rules and understand that my employment is “at will” and can be terminated with or without cause, and with or without notice, at any time, at my option or the option of CHC where applicable. I also understand that this application and any employment manuals or handbooks that may be distributed to me during my employment shall not be regarded as a contract. Sign by typing your full name in the space provided. *
Compassionate HomeCare, LTD is an equal opportunity employer and will not discriminate against any applicant for employment because of race, color, religion, sex, national origin, disability, age, genetic information, or any other status protected by state or local law for an individual who falls within the jurisdiction of such law. Applicants who require an accommodation throughout the application and interview process should request this in advance. Additional testing of job related skills may be required prior to employment. If you feel that you have been discriminated against during the application process, contact the Human Resources Department at (307)-751-1537. *
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