JOB APPLICATION

Grace Hands Home Care Services 1511 E 9th St, Des Moines, Iowa 50316 515-373-4222

Please correct the errors described below.

Grace Hands Home Care Services is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:

Applicant Information

Employment Position

Position(s) applying for: Home Aide & CNA ( part time)

Personal Information

Job Skills/Qualifications

(Note: Grace Hands Home Care Services complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Education and Training

High School

College/University

Vocational School/Specialized Training

Military:

Previous Employment

Add new row

References

Please provide 3 personal and professional reference(s) below:

Additional Information:

AT-WILL EMPLOYMENT

The relationship between you and the Grace Hands Home Care Services is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Grace Hands Home Care Services. No representative of Grace Hands Home Care Services has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

DISCLAIMER: By typing your name below, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.

Your information will be encrypted.

Loading...