APPLICATION FOR EMPLOYMENT (HEALTH CARE FACILITIES)

Application For Employment Package

Package Includes:

· Personnel Record Checklist & Hire Instructions

· Application for Employment

· Application Signature Form

· Employee Reference Verification Form

· Authorization for background check

· Invitation to Self Identity

· Drug Screening Agreement

· Employee Status Form

· At-Will Employment Statement

· Employee Handbook Acknowledgment Receipt

· Restrictive Covenant and Confidentiality Agreement

· HIPAA Compliance Notification

· Dependent Adult and Elder Abuse Reporting

· Child Abuse Reporting

· Conflict of Interest Agreement

· Password Security Statement

· Equipment Release Form

· Authentication of Employee Signature

· Personnel Orientation Checklist

· Hepatitis B acceptance/declination

· Flu Vaccine Consent

· Latex Sensitivity Questionnaire

· Annual TB Questionnaire