Step 1
Step 2
List any work limitations that you may have and briefly describe
Step 3
I certify that, to the best of my knowledge, the answers given are true and complete and that purposeful misrepresentation may result in the rejection of my application. I authorize the investigation of all statements contained in this application, as required. Additionally, I authorize former employers, references and any other individual/organizations to provide information to Living @ Ease Home Care and I hereby release and discharge any of the above and Living @ Ease Home Care from any liability of any kind or nature. I also understand that it is my responsibility to keep such information current and accurate by updating it as often as necessary.
I agree to a physical examination if requested, and understand that failure to meet any medical and/or health requirements for the position may prevent my employment with the Agency. I also understand that employment, for certain positions, may be conditional upon successful completion of a substance abuse screening test, if part of the Agency’s pre-employment policy.
I understand that, if hired, I may be required to provide proof that I am a citizen of the United States or proof that I am currently authorized to work in the United States.
Copyright Living At Ease Home Care, all rights reserved.
8501 Tower Point Drive, Suite D1, Charlotte, NC 28227 704-443-7068