Employment Form

Please, fill all the required information below if you wish to apply for employment.

Primary School
High School Diploma
Some College
Bachelors Degree
Graduate / Masters Degree
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As an Equal Opportunity Employer (EOE) Holistic Healthcare Services Inc complies with all State and Federal laws prohibiting discrimination in employment because of race, color, sex ,age, religion, disability, Vietnam -Era service, or national origin and laws pertaining to eligibility to in the United States.

Please complete the Application as thoroughly and accurately as possible print answers to all questions-resume cannot be substituted.

Application Acknowledgement: please read the following statements carefully before submitting your application.

1. Misrepresentation of information: I certify that all information given on this application, resume, and any related papers, and answers given during oral interviews are true and correct. I acknowledge and agree that any falsification, misrepresentation or omission of facts will result in making this application null and void, and if I become employed will result in termination of my employment, regardless when discovered.

2. Background Investigation: I understand that part of normal procedure for processing employment application and employment request, an inquiry will be made concerning my work history, education, criminal history, character and eligibility to work in the United States. I authorize Holistic Healthcare Services Inc, to make those inquires to investigate all statements to secure any necessary information from all my employers, references, government entities and academic institutions. I hereby release all parties from any and all liability, and I understand that if the results of the inquiry are not satisfactory in the judgment of Holistic Healthcare Services Inc, my offer of employment will be withdrawn.

3. Substance abuse: Along with completing this application, I agree to submit to pre-employment drug test. Should the results of the test be unsatisfactory, in the judgment of Holistic Healthcare Services Inc, the offer of the employment will be withdrawn.

4. Compliance With Work rules and policies: I agree that if I am employed I will abide by all the work rules and policies of Holistic Healthcare Services Inc ,and acknowledge that these rules and policies may changed, interpreted, withdrawn or added to Holistic Healthcare Services Inc, at any time at Holistic Healthcare Services Inc, sole option, and with or without prior notice to me.

5. Eligibility to Work in the United States: If offered employment, Holistic Healthcare Services Inc will be required to verify my eligibility for employment are to be submitted by me in accordance with the regulations of the U.S. Immigration and Neutralization Service.

6. Equal Opportunity Employer: I understand that Holistic Healthcare Services Inc, does not discriminate in employment and no question in this application is used for the purpose of limiting or excusing any applicants consideration for employment on basis prohibited by local, state or federal laws.

7. Americans with Disabilities Act: I understand that it is Holistic Healthcare Services Inc, policy to hire qualified individuals with disabilities even if this person has a need for reasonable accommodation that would be required by the ADA.

8. No Obligation to Hire Employment At Will: I understand that completion of this application does not indicate whether there are any positions currently open; nor does it obligate Holistic Healthcare Services Inc to hire. I also understand and agree that nothing to this employment application, in Holistic Healthcare Services Inc, policy statements, personnel guidelines or employee information guide is intended to create an offer of employment contract between Holistic Healthcare Services Inc and myself. I understand and agree that employment and compensation with Holistic Healthcare Services Inc will be on at-will basis, meaning that employment will be for no definite duration and can be terminated with or without cause, and without prior notice, at any time, at the desecration of Holistic Healthcare Services Inc. I also understand that I am obligated to give Holistic Healthcare Services a 2 weeks written notice if I desire to voluntarily quit my position. If I fail to do so, Holistic Healthcare Services may withhold my last paycheck.

9. Smoking Policy: I understand that smoking is prohibited throughout Holistic Healthcare Inc, facilities or clients house.

10. Intellectual Property and Confidentiality Agreement: Inconsideration for my employment by Holistic Healthcare Services Inc, I agree to comply with the confidentiality agreement.

I hereby acknowledge that I have read, understand and agree to the proceeding statements, and to the best of my knowledge and belief, the information on the application is true, correct and binding.

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