JOB APPLICATION

Majesty Home Health, Inc. is an Equal Opportunity Employer

Work with Majesty Health Home Care, Inc.

PERSONAL

EDUCATION

PROFESSIONAL LICENSES / CERTIFICATIONS

SKILLS

JOB INTEREST

EMPLOYMENT HISTORY

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I hereby certify that the information in this application is true and correct to the best of my knowledge and I agree to have any of the statements checked by the agency unless I have indicated to the contrary. I authorize the references listed above to provide the agency any or all information concerning my previous employment. I understand that any misrepresentation, falsification or omission of information on this application may result in my failure to receive an offer of employment or if I am hired, in my dismissal from employment.

Majesty Home Health, Inc. complies with Federal and State laws which prohibit discrimination on the basis of race, color, age, sex, religion, national origin, ancestry, disability or handicap, medical condition, sexual orientation, and marital status.
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