online application form

General Information

Eligibility

Answering yes to the following questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

Employment History: Employer 1

*for most recent position held

Compensation (Starting)

Compensation (Final)

Employment History: Employer 2

*for most recent position held

Compensation (Starting)

Compensation (Final)

Employment History: Employer 3

*for most recent position held

Compensation (Starting)

Compensation (Final)

Skills and Qualifications

Computer Skills (check appropriate boxes, include software titles and years of experience)

EducationStarting with your most recent school attended, provide the following information

School #1

School #2

School #3

References List name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.

Reference #1

Reference #2

Reference #3

Applicant Statement I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, reume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment and no-question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause or with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and taht federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer's service, whenever it is discovered.

By submitting this application, I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

You are about to submit personal information over the internet. While Hoffmann Hospice will make every reasonable attempt to ensure that your information is kept safe, please understand that there is an inherent risk to exchanging confidential information by any means (electronic or otherwise). By submitting this form you acknowledge that you understand and accept this risk.