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Application For Employment

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Personal information

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Address

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Telephone #s where we can contact you:

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Your Availability

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Educational Information

High School

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College / University

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Post-Graduate Work

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Other Education

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Licenses

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References

Please list three references that we may contact who are able to verify your qualifications by providing professional and/or character references for you. List persons who have known you for at least one year. Please do not use people you are related to or that you live with as a reference.

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Employment History

Please start with your most recent employer, including military service. If information is already on your resume, fill in only those items not listed on your resume. Explain any gaps in work history.

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Please review your entries using the Previous/Next navigation buttons.  When you are satisfied that all of your information is correct, click the button below to submit your completed application.

 

Application Notice

Your application will remain active for sixty (60) days following the date on the application. Consideration for employment after this time requires a new application.

Applications are screened by the Human Resources Manager before being forwarded to appropriate supervisors. Applicants selected for an interview will be contacted by phone. The hiring process may take two to four weeks.

I authorize the Visiting Nurses to investigate any or all statements included in this application and to obtain information concerning my qualifications as a prospective employee. I authorize my former employers and references listed to make full response to any inquiries made by designated staff members of VNA concerning my previous employment and my work performance. I release all such persons and entities from all liability with respect to providing such information to VNA.

I understand that should an employment offer be extended to me and accepted, I will fully adhere to the policies, rules and regulations of employment with VNA. I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that employment is for an indefinite period of time and "at will." This means that either VNA or I may terminate my employment at any time with or without notice or cause. I understand that the Visiting Nurses requires a criminal background and motor vehicle records (MVR) check for all employees once a conditional offer of employment has been extended by the hiring manager.

I certify that the information included in this employment application is true, complete and correct to the best of my knowledge and that any misstatements or omissions in this application may result in VNA's refusal to hire me or if employed, may be considered cause for dismissal.


I certify that all the information provided in this application is true and correct to the best of my knowledge, and that I am the one who has filled out and signed this form.

Please type your full name