24 Hour In-Home Care for the ones you love

770-824-3940

We are looking for professionals who are dedicated and compassionate about giving care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. If you are planning to pursue a career in the healthcare industry, then we encourage you to join our growing team today. We are an equal opportunity employer. Discrimination due to race, sexual orientation, and age is not tolerated within our organization. For interested applicants, please send your resume to work@epsilonhomebasedqualitycare.com. Or, you can fill out the form with the necessary details below.

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FYI: ConvicMon will not be a deciding factor in conMnuing the pre-screening process or potenMal employment opportuniMes

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Educational Background: Please Answer The Following Questions

List previous educational history

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Document Checklist

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Employment Background

List your previous employers beginning with the most recent employer.

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References: List the name, relationship, number of years acquainted, and phone number of three references. (No relatives please)



Certification and Release

I certify that I have read and understand the application note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentation of facts called for in this application may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumers reporting bureaus, to verify any information including, but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this informaMon. I understand that I am not obligated to disclose sealed or expunged records of conviction or arrest. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability, national origin, ancestry, veteran status, medical condition, sexual orientation, marital status or any other characteristic protected by applicable state or federal civil rights laws.

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