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EMPLOYMENT APPLICATION
CareSpot, LLC 

CareSpot, LLC is an equal opportunity employer and in conformity with applicable laws.  CareSpot does not discriminate on the basis of color, religion, age, sex, sexual preference, national origin, marital status, veteran status, physical or mental disability, and any other impermissible criteria according to applicable law.  No question on this application is intended to secure such information to be used for such discrimination.  This application will be given every consideration, but its receipt does not imply that the applicant will be employed.  This application is valid for thirty (30) days.  For consideration of employment opportunities after thirty (30) days, you must reapply.

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GENERAL INFORMATION

Telephone:

Have you ever been known by any other name?
Yes
No
Have you filed an application here before?
Yes
No
Have you ever worked here before?
Yes
No
Have you ever been involuntarily terminated from employment?
Yes
No
Have you ever been denied professional liability insurance?
Yes
No
Do you have any physical, mental, or medical condition that might limit or prevent you from performing the responsibilities of this job?
Yes
No
Are you prevented from lawfully becoming employed in this country because of Visa or immigration status? (Proof of citizenship or immigration status is required upon employment)
Yes
No
Have you ever been convicted of a misdemeanor or felony, or are you presently formally charged with committing a criminal offense? (Responding “yes” will not necessarily disqualify applicant from employment. Do not include any traffic violation, juvenil
Yes
No

AN EQUAL OPPORTUNITY EMPLOYER

EMPLOYMENT INFORMATION

Are you available for weekends?
Yes
No
Are you available for overnight shifts?
Yes
No
Are you at least 18 years or older?
Yes
No

Minimum salary: 

EMPLOYMENT EXPERIENCE

Start with your present or most recent job.  Include military service, assignments, and volunteer activities.  You may exclude organization names, which indicate race, color, religion, sex, age, sexual preference, veteran status, or national origin.  Though you may attach a resume, all requested information not indicated within your resume must be provided in this section.

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