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Joyal Job Application

Job Application

Thank you for your interest in Joyal Health Care Inc.

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications.

Please fill out the application below.


Please Enter Your Professional License, Registration, or Accreditation Information

Fill out as many as apply


Professional License #1

(optional)


Professional License #2

(optional)


Professional License #3

(optional)


Employment History

Please complete the following information about your previous three employers.


Employer #1


Address of Employer #1


Employer #2


Address of the Employer #2


Employer #3


Address of the Employer #3


References

List three individuals who are in a position to evaluate your training, experience, and attributes. Please omit relatives:


Reference #1


Reference #2


Reference #3


Education

Please enter the following information about your high school, college, and any other higher education you have received.


High School

Some description about this section

College or University


Graduate School


Vocation or Business School


Other Schooling


Medical History


Please answer the following questions. In the last two years have you:


Have you exhibited any of the following symptoms:


Please answer the following


Please read carefully and sign below:

I certify that all the fact and information listed on this employment application are true, current, and complete. I understand that any false, incomplete, and/or misleading information given by me on this application is sufficient cause for rejection of this application. I also understand and agree that any such false, incomplete, and/or misleading information discovered on this application at any time after I am employed may result in termination of employment.

I authorize Joyal Health Care Services Inc. to investigate all statement(s) contained in this application, to interview the references, and previous employers listed in this application, and to obtain a report from a consumer reporting agency to be used for employment purposes in accordance with the Fair Credit Reporting Act. I authorized the references and previous employers listed in this Joyal Health Care Services Inc. application to release all facts, opinion(s), and evaluation concerning my previous employment and any other information they may have personal or otherwise. I hereby release all such parties from any liability which may allegedly rise from furnishing such information to Joyal Health Care Services Inc. including but not limited to any liability for defamation or invasion of privacy.

If I am offered employment with Joyal Health Care Services Inc. I may be subject to pre-employment drug testing where a reasonable suspicion exist, or where warranted by circumstance, workplace conditions, and/or contractual requirements. Any positive result(s) of such test will be reported to the appropriate licensing board and failure to take such test(s) when requested to do so or unsatisfactory test results will disqualify me from consideration for employment, or if I am then employed, may result in my immediate dismissal.

I understand and agree that there is no promise or employment contract between Joyal Health Care Service Inc. and myself. If an employment relationship is established, I understand that my employment can be terminated "at will", by Joyal Health Care Services Inc. or myself at any time. Also, my work assignments, schedules, and/or work locations are subject to change according to the needs of the business and client(s) of Joyal Health Care Services Inc.

I have head and understand the information in Joyal Health Care Services Inc. Employee Handbook. I understand that I am responsible for complying with the information contained in the Employee Handbooks.


Release Form

I hereby give Joyal Health Care Service Inc. my permission to conduct an investigation to obtain information which the company thinks is necessary to determine my qualification for employment with the company, including but not limited to, my permission to contact any former employer, any personal or professional reference, any bank, credit, or finance bureau or office, any police department, law enforcement agency or any other appropriate source or individual for the purpose of gathering information, personal or otherwise, that such source may have relating to my character, general reputation, or criminal record, and I give my consent to any source to release to the company whatever information they have about me.

I understand that the information requested about me on this form is necessary so that accurate information is obtainable.

I also unconditionally release all named and unnamed sources any and all liability that might result from furnishing any information about me.

Prospective Employer: Joyal Health Care Services Inc.