Grace Hands Home Care Services 1511 E 9th St, Des Moines, Iowa 50316 515-373-4222
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:
Position(s) applying for: Home Aide & CNA ( part time)
(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.)
Vocational School/Specialized Training
Add new row
Please provide 3 personal and professional reference(s) below:
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.
Your browser does not support capabilities required for electronic signatures.
Click a signature you want to use:
Copyright © 1999-2024 Hush Communications Canada Inc.