Careers

Regarding Employment Application for, North Light Care Services LTD
I certify that the information contained in this application and in any resume provided by me or any party representing my interests is correct and complete to the best of my knowledge. I understand that any false statements, misinterpretations, or omissions made by me on this application or any supplement to it, will be sufficient grounds for rejection of this application or discharge after employment.

I grant North Light Care Services the right to obtain pertinent information concerning me from former employers, educational institutions, and others, and I release all those providing or requesting such information from any liability that may arise by truthful disclosures or such investigations

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the Company reserves the same right to terminate my employment at any time with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the Company, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer.

I understand it is the Company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the Americans with Disabilities Act.

I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.

Your signature acknowledges you have read and agree to the above.

PLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE

How would you rate yourself on your experience with the following aspects of caregiving? 1 = No Experience 2 = Some Experience 3 = Good Experience 4 = Excellent Experience

I understand that at my discretion I will be using my automobile as part of the duties in the care of patients assigned to me.

I acknowledge that I have the primary responsibility for my automobile insurance. I agree to hold NORTH LIGHT CARE SERVICES LTD harmless in the event that there is an accident in which there is damage to my automobile or injury to its occupants.

I hereby provide a copy of my car insurance card.

Please read carefully as this is a legally binding document.

By accepting employment with NORTH LIGHT CARE SERVICES LTD, I agree to carefully refrain from discussing any client’s condition or personal affairs with anyone outside the agency, unless expressly authorized to do so. I will not share any medical information with other clients or visitors without clear instruction provided to the agency. I acknowledge that all information seen or heard regarding clients, directly or indirectly, is completely confidential and is not to be discussed, even with my family and coworkers. My job as an employee requires that I govern myself by high ethical standards. Failure to recognize the importance of confidentiality is not only a breach of professional ethics, but can also involve an employee in legal proceedings. I will not share any information about clients or the agency with the media. This is essential for protection of both the client and Agency.

I have read and fully understand the above statement and agree to abide by these policies

I understand that a breach of policy may result in disciplinary action and possible dismissal from employment.