CMT, CNA

Amit Health System

Posted 3 years ago

This is a healthcare professional Job, that involve providing care in long term and community living setting. Care will be provided by supporting clients with ADL, Ambulation & feeding as necessary.

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Full Name*

Date of Birth*

Age*

Sex*

Address*

Apartment/ Unit*

Email*

A valid email address is required.

Phone*

A valid phone number is required.

Type of Employment*

Days Available*

Hours of Interest*

Types of Wage Desired*

Type of Job Desired*

Types of Qualification / Certification*

Level of Education & Training*

Employment History A*

Employment History B*

Reference A*

Reference B*

Attach Resume*

I certify & Authorize

I certify that the information contained with this application is accurate, current and complete. I understand that omissions or misrepresentations of the truth may result in disqualification or may result in termination of employment. I authorize Amit Health system Medical Staffing, to disclose any information gathered (including criminal background checks, employment history, credentials, references, drug screening, verification of state nursing licenses etc.) for state, federal, contractual or accreditation purposes as well as any performance appraisals, disciplinary records or skill tests. I release Amit Health System staffing and any persons or entities providing information to Amit Health System Staffing from all liability for any damages from the disclosure of this information.

I Authorize Amit Health System , I understand & Agree

I authorize Amit Health System Staffing permission to conduct an investigation to obtain information which the company thinks is necessary to determine my qualifications for employment with the company, including but not limited to, my permission to contact any former employer, or any other local, state or federal government agency, any police department, law enforcement agency or organization, or any other local, state or federal government agency, any consumer reporting agency, or any other appropriate source or individual for the purpose of gathering information, personal or otherwise, that such sources may have relating to my character, general reputation or criminal records, and I give my consent to any source to release to the company whatever information they have about me. I understand and agree that if medical restrictions cannot be reasonably accommodated, I may not be hired, or if hired, employment may be terminated. I also understand that subject to state laws, Amit Health system staffing reserves the right to conduct drug screening and testing for reasonable suspicion at any time during employment or pre-employment screening. Any violation of this policy may result in an applicant not being hired or adverse employment action such as immediate termination.*

CMT, CNA

Amit Health System

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