Keystone Passionate Care
The Key to Your Home Care
Application Instructions
Thank you for applying for a position with our company. Our employees
make us successful and the employment process is an important aspect
of building our team. Complete the attached application. Incomplete
applications will not be reviewed. All applications will be kept on file for ninety (90) days.
Completing an application does not guarantee that you will be
interviewed. Your application will be reviewed with others submitted as
job openings become available. Employment decisions are made solely
‘on the basis of qualifications to perform the work for which you are
applying. Qualifications include education, training, work experience, and
other factors which are relevant in determining job performance.
Credentials and experience will be verified through schools, former
employers and licensing/certification agencies.
Employment Qualifications:
Must be 18 years of age or older.
Have a satisfactory criminal background check.
Have a current TB test.
Have a valid PA Drivers License/State ID.
Must be legally eligible to work in the United States.
We appreciate your cooperation. As an Equal Opportunity Employer, decisions
to hire and promote are made without regard to race, color, creed, national
origin, sex, pregnancy, physical or mental disability or age (as defined by law),
Application Authorization Waiver
1. Personally completed this form honestly and accurately
By my signature below, I promise that I have personally completed this application. I declare under penalty of perjury that the information provided in this employment application (and accompanying resume, if any) is true and complete, and I understand that any false information or significant omissions may disqualify me from further consideration for employment, and may be justification for my dismissal from employment if discovered at a later date. I understand that any job offer is conditional based on a satisfactory review of my qualifications including any and all background or drug screening that may be required,
2. Authorization to obtain information.
I voluntarily and knowingly authorize any present or past employer; supervisor; administrator; educational institution; law enforcement agency; state, local, or federal agency; credit bureau; collection agency; private business; military branch; the national personnel records center; personal reference; and/or other persons; to give records or information that may have concerning my criminal history, motor vehicle report, educational history, licensing, employment (including character, earings history and reasons for termination) ‘or any other information requested by the company requested to determine my eligibility for employment.
3. Release
I voluntarily waive all recourse and release any company, individual, or organization from liability for complying with any request from the company or agents of the company (including any consumer reporting agency) to obtain any information from any source whatsoever relating to my application for employment. I further release the company or any individual within the company regarding the use of any information received which may have a bearing on my application for employment.
4. Investigation
I hereby authorize the Agency to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the Agency any and all letters, reports, and other information related to my work records. In addition, I hereby release the company, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.
5. Notification and compliance with rules
I agree to immediately notify the company if I should be convicted of a crime while my job application is pending, or during my employment, if hired. If I become employed, in consideration of my employment, I agree to comply with the rules, regulations, policies, and procedures of the company.
