Skyline Home Health Care

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  • Monday to Friday: 8:00 AM - 5:00 PM
Skyline Home Health Care is currently looking for qualified healthcare professionals and home health aides who can readily devote their time and energy to provide exceptional care to our patients. If you would like to apply for a position, kindly fill out the form provided below.

APPLICATION FORM

SHHC - Job Application

Personal Information

Are You Over 18?

How Did You Hear About Us?
Have You Ever Been Employed With Us Before?
Position You Are Applying For
Employment Type
What License Do You Currently Hold?
Were You Recruited?
Are you prevented from lawfully becoming employed in this country because of VIsa or Immigration status?
Have you ever pled guilty , pled no contest or been convicted of a crime?
Are there any duties in the job description that you can not perform at this time?

Educational Background

High School Graduate?
GED

Work Experience

Beginning with your present or most recent job, please complete the following information for all of your previous jobs. Include any job-related military service assignments and volunteer activities. Emphasize any jobs that you believe have relevant experience for the position for which you are applying
Are You Currently Employed?
May We Contact Your Present Employer?
Were You Previously Employed?

Current Employer

Add Previous Employer

Previous Employer 1

Add Another Previous Employer

Previous Employer 2

Add Another Previous Employer

Previous Employer 3

Skills / Certifications

Additional Information

List here and on attachment, if needed, any other information you would like us to know about you (except as related to age, religion, etc.) that would be relevant to the job you’re applying for. Do not include organizations that indicate race, religion, gender, national origin, disability, or other protected status

Resume / Document Upload

Please upload your resume or any other documents you would like us to have that are relevant to you job application

Required upload size: 33.55MB

References

List three individuals who are not related to you and are not previous employers

Demographic Information

Employees are treated during employment without regard to Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Marital or Veteran Status, Medical Conditions or Disabilities, or any other legally protected status. If you need interpretation services, such as a sign language or some language other than English, please contact Skyline Home Health Care. The purpose for this Data Record is to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of this data record is optional. If you choose to volunteer the requested information, please note that all data records are kept in a confidential file and are not a part of your application for employment or personnel file
Gender
Which best describes your race / ethnicity? Check all that apply
Do you identify as a person with a disability?
Please indicate your veteran status

Signature

I certify that the information provided on this application and on any resume’ or any other documents submitted in conjunction with this application are true to the best of my knowledge. I authorize investigation of all statements contained in this application and all associated documents. This application and all associated documents shall be maintained on file for 1 year. I understand that neither this document nor any offer of employment from the employer constitutes an employment contract unless the employer and employee in writing execute a specific document to that effect. In the event of employment, I understand that false or misleading information given in my application and all associated documents or interview(s) may result in discharge. We consider applicants for all positions without regard to Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Marital or Veteran Status, presence of Non-Job Related Medical Conditions or Disabilities, or any other legally protected status