WORK TIME: 8AM - 4:30PM
24/7 EMERGENCY HELP LINE
CONTACT: BERLIN OFFICE
PHONE (860) 882-4623
Please provide us with two (2) Emergency contacts that we would be able to contact in the event of an emergency.
Please provide us with at least three professional references
APPLICATION MUST BE FILLED OUT IN ITS ENTIRETY TO BE CONSIDERED…I certify-• That the statements made by me on this application are true and complete to the best of my knowledge and are made in good faith. I understand that if knowingly make any misstatements of fact, I am subject to disqualification, dismissal, or other action pursuant to employment agency policy and procedure, and subject to criminal penalties as prescribed by law.• I understand that this is not a legally binding contract and does not guarantee employment with From The Heart Home Care, LLC.• That, to the best of my knowledge, the answers given are true and complete and that purposeful misrepresentation may result in rejection of my application. I authorize 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 From The Heart Home Care, LLC and I hereby release and discharge any of the above From The Heart Home Care, LLC from any liability of any kind or nature.• That it is my responsibility to keep such information current and accurate by updating it as often as necessary.• The agency shall make the form and comprehensive background check available for inspection by agent of the Department of Consumer Protection during reasonable times.• 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