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In connection with your application for potential employment, we may obtain a consumer report, which checks your background and references. When we request a Consumer Report, it will be obtained from iprospectcheck, 160 Blue Ravine Road, Suite E, Folsom, California 95630; Tel. No. #1.888.808.9997 www.iprospectcheck.com
I authorize Mission Hospice & Home Care to contact any of my schools, current and former employers, and/or other references for the purpose of collecting information and an account of my work experience and education. I agree to hold any or all of them blameless and free of any liability for releasing such information.
I understand that all offers of employment are conditioned on
If employed, I agree to observe all rules, regulations, and policies of Mission Hospice & Home Care.
I recognize that this application does not bind either me or the employer for any specific period regarding employment, and that employment with Mission Hospice & Home Care is "at-will," which means that either my employer or I may end the relationship at any time and for any lawful reason, with or without notice. The "at-will" employment relationship cannot be modified except in a written document signed by the CEO.I certify that the information contained in this application form is true and correct and that any omission, misrepresentation or misstatement may result in an offer of employment being rescinded and is grounds for immediate termination upon discovery at any time during employment.
Completion of this questionnaire is strictly voluntary on your part. Refusal to provide this information will NOT cause rejection of employment, discharge, or disciplinary treatment or any other adverse treatment. The information on this form will not be attached to your employment application. It will be treated in a confidential manner and used to assist our organization(s) in complying with reporting requirements in accordance with applicable laws, regulations, or other recordkeeping associated with consolidation of applicant data. Mission Hospice & Home Care is an Equal Opportunity Employer.
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