Application for Employment
Community Visiting Nurse Association is an equal opportunity employer and will not discriminate in employment as to any protected category, including but not limited to race, religion, age, gender, sexual orientation, disability (mental or physical), communicable disease or place of national origin, or any other protected status.
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Application For Employment
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Position Applied For:
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PERSONAL/PROFESSIONAL REFERENCES
Give below the names of three (3) persons, not former employees or relatives, whom you have known at least one (1) year.
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Previous Employers (Start with most recent/current position)
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By checking this box
I certify that the information contained in this application is true and complete to the best of my knowledge and belief. I understand that any misrepresentation or omission of fact in this application will be cause for refusal of employment, or if employed, termination from the company. I______________________________, hereby authorize Community Visiting Nurse Association to request and receive from all prior employers within one year of the date of application, any and all pertinent information concerning my prior employment and its termination, including the reasons for such termination. I authorize Community Visiting Nurse Association, its agents and/or representatives, to investigate me, my education and my past employment fully. In consideration of my employment, I agree to comply with the policies, rules, regulations and procedures of the Company. I understand that I do not have a Contract of Employment with the Company, that my employment will be at-will and is not for a definite duration and that my employment can be terminated with or without cause or notice at any time, at the option of either the Company or myself.
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Signature Date
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Or mail a paper copy of your resume to:
Community Visiting Nurse Association
110 West End Avenue
Somerville, NJ 08876
Attn. Human Resources
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