Applicant Imnformation

Work Schedule Availability

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Previous Employment

List current or most recent employment.

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that falsification, misrepresentation, or omission of requested information in my application or related documents may result in immediate dismissal. I understand and authorize A Jewel Homecare, Inc. to investigate and verify information, including references, in connection with my application for employment. I release from liability any person or entity giving or receiving any such information in connection to my application. I also acknowledge and understand that this employment application is not a contract of employment and that if I am hired, I will be an “at will” employee and may voluntarily leave my employment or my employment be terminated at any time for any reason. I further acknowledge that no written or oral statement or promises have been made to me regarding the length of my employment, if hired.

Equal Employment Opportunity Information

A Jewel Homecare, Inc. is an Equal Opportunity Employer. It is our policy to provide equal opportunities to all employees and applicants for employment in accordance with all applicable laws, directives, and regulations of Federal, State, and local governing bodies. It is our policy to recruit, hire, train and promote individuals in all employment positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or genetic information.

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This application will remain active for six months. If you are interested in employment thereafter, you must reapply and complete a new application at that time.