Hash-Baz Home Care Services
(List below last four employers, starting with the last one first)
DATE
Please sign reference checking form for each reference
PLEASE LIST ANY OTHER JOB-RELATED INFORMATION YOU THINK WOULD BE HELPFUL TO US IN CONSIDERING YOU FOR THE POSITION, SUCH AS ANY ADDITIONAL WORK EXPERIENCE, VOLUNTEER ACTIVITIES, HOBBIES, SOCIAL ACTIVITIES, CLUBS OR PROFESSIONAL ORGANIZATIONS (LIST OFFICES HELD), PUBLICATIONS, ACCOMPLISHMENTS, ETC. (EXCLUDE INFORMATION INDICATIVE OF RACE, COLOR, RELIGION, SEX, AGE, MARITAL STATUS, NATIONAL ORIGIN, DISABILITY, OR VETERAN STATUS.)
Acceptance of this application affords no assurance of eventual employment. If employed, you will be required to verify your ability to legally accept employment in the United States. For certain jobs, background investigations, to include contacting former employers, may be required. This application does not constitute a contract of employment. Employment and compensation can be terminated with or without notice, and with or without cause, at any time.
