* Required Information
Application For Employment

(A yes answer does not automatically disqualify you from employment, since the nature of the offense, date, and the job for which you are applying will also be considered.)

For Driving Jobs Only
Employee Availability

Please provide the following information on your availability to work for ASZ Caring Hearts Healthcare, Inc.

Please check the day and time of week you are available

List names of employees in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references. PLEASE GIVE MONTH AND YEAR.

Dates of Employment
Pay
Dates of Employment
Pay
Dates of Employment
Pay

Give three references, not relatives or former employees

PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING
I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.
I understand that the employer may request an investigative consume report from a consumer reporting agency and I must pass the background screening AHCA fingerprinting in order to work & be considered for employment. This report may include information as to my character, reputation, personal characteristics and made of living obtained from interviews with neighbors, friends, former employers, schools and others. I understand I have a right to make a written request within a reasonable time for the disclosure of the name and address of the consumer reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation.
I authorize the investigation of any of all statements contained in this application and also authorize any person, school, current employer (except as previously noted) past employers and organizations named this application to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organization from any legal liability in making such statements.
I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be required to successfully pass a drug screening examination. I hereby consent to a pre and/or post-employment drug screen as a condition of employment, if required.
I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time, if employed, I understand and that I have been hired at the will of the employer and my employment may be terminated at any time, with or without cause and with or without notice. I have read, understand, and by my signature consent to these statements.