(Documents establishing your identity and authorization for employment in the United States must be presented no later than 72 hours after starting employment.)
(Please include the name of School or Institution, complete address, and degree earned.)
(A criminal conviction will not necessarily be a barrier to employment. We will consider the nature of the crime, its job relatedness, subsequent rehabilitation and any other factors in evaluating whether hiring you would promote a security or other risk) NOTE: A criminal history check is mandatory for all prospective employees.
EMPLOYMENT IS DEPENDENT UPON SATISFACTORILY PASSING AN EMPLOYMENT PHYSICAL, WHICH INCLUDES A NON-INVASIVE SUBSTANCE ABUSE SCREEN, GIVEN TO ALL EMPLOYEES.I hereby certify that the forgoing statements are true and correct to the best of my knowledge and belief and hereby grant Great Lakes Home Healthcare Services permission to verify such answers and investigate work and personal references. I understand that any false statements on this application or in any interview may be considered sufficient cause for rejection of this application or for dismissal if such false information is discovered subsequent to my employment. I also understand that my salary, wages, benefits, and other terms or conditions of employment are subject to change by Great Lakes Home Healthcare Services and, if hired, I will be notified of these changes. I hereby agree to take physical and examinations whenever required by Great Lakes Home Healthcare Services. I also understand Great Lakes Home Healthcare Services has established a smoke free environment in many areas of the organization and thereby has banned the use of all smoking materials in these areas by employees while on the premises. I authorize the employers, schools or persons named above to give any information regarding previous employment, character, general reputation and personal characteristics., together with any information that they have regarding me, whether or not it is in their records. I understand that no representation, whether oral or written, by any representative, agent, or supervisor of Great Lakes Home Healthcare Services can constitute a contract of employment of any kind, I further understand that; my employment with GLHHS may be terminated, with or without cause and with or without notice, at any time, at the option of either GLHHS or me. In addition, if accepted for employment, I hereby agree to abide by the rules and regulations of GLHHS and to accept the established pay period of GLHHS.
