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APPLICATION FOR EMPLOYMENT

Professional Home Health Care, Inc. APPLICATION FOR EMPLOYMENT An Equal Opportunity Employer We do not discriminate on the basis of age over 40, race, sex, color, religion, national origin, disability, or any other applicable status protected by state or local law. It is our intention that all qualified applicant be given equal opportunity and that selection decisions be based on job-related factors. Each question should be fully and accurately answered. No action can be taken on this APPLICATION until all questions have been answered.

CAUSE AND WITH OR WITH NOTICE. I have read, understand, and by my signature consent to these statements. Signature Date _____/_____/_____ This application for employment will remain active for a limited time. Ask the organization representative for details. EMPLOYEE AVAILABILITY Please provide the following information on your availability to ...

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