Apply for Terrific 12 shift CNA or HHA

Summary
Title:	Terrific 12 shift CNA or HHA
ID:	11/19/2024 JAX.
Location:	Jacksonville, FL
Department:	Home Care

Resume
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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

PERSONAL INFORMATION

* Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment)

Yes No

EMPLOYMENT DESIRED

When would you be available to begin work?

EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

Name

Location

School 2

Name

Location

EMPLOYMENT HISTORY

Give your full employment record, starting with your current or most recent employment

Employer 1

Company Name

From

Employer 2

Company Name

From

REFERENCES

Please provide three references (not relatives).

Reference 1

Name

Phone Number

Reference 2

Name

Phone Number

Reference 3

Name

Phone Number

AUTHORIZATION

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

* Signature (type name)

* Date

Equal Employment Opportunity (EEO) Policy:

Granny NANNIES assures each contractor applicant an equal opportunity without regard to a person's age, race, color, sex, national origin, political opinions or affiliations, marital status or disability, except as provided by law or when such requirement constitutes a bona fide occupational qualification necessary to perform the tasks associated with the position.

Independent Contractor Status: Upon acceptance of this Application by Granny NANNIES, I will be an independent contractor responsible for my own business and not an employee of the Company. I will not be treated as an employee in regard to any laws covering employees, including but not limited to the Federal Insurance contributions Act, the Social Security Act, the Federal Unemployment Tax Act, and income tax withholding at source or for any federal or state tax laws. It is my responsibility to pay self-employment, state and federal income taxes, as required by law. Granny NANNIES is a referral agency and can NOT guarantee full-time, part-time, or steady assignments.

Please find our Terms of Service and privacy policy on our website at
https://grannynannies.com/Gainesville/Privacy-Policy
https://grannynannies.com/Jacksonville/Privacy-Policy

By providing my electronic signature below I am authorizing Granny NANNIES to run all necessary screenings, including but not limited to my criminal history, drivers record, and public record. I also confirm that all provided information is true and correct to the best of my knowledge.