Pre-Employment Requirements

Your Availability For Work

Give three references who are NOT former employers who we may contact

Employment History

List the names of employers with present or last employer listed first. Please note that we may not contact your present employer until after you have been offered an assignment. Application must account for periods of more than one month break in employment.

Carefully read each statement before signing at the bottom:

I certify that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background check and credit history check. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date.

I understand and acknowledge that unless otherwise defined by applicable law or written agreement with CORNERSTONE HOME CARE SERVICES, any employment/independent contractor relationship will be considered “employment at will.” This means the employee/independent contractor may resign at any time and CORNERSTONE HOME CARE SERVICES may discharge the employee/independent contractor at any time, with or without cause, and with or without advance notice.

I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employer, and other organization to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I have read, understand, and agree to the above statements: