McBride Quality Care Services

Employment Application:

We are an equal opportunity employer. This means it is the policy of this organization not to discriminate on the basis of race, sex, gender identity, sexual orientation, religion, national origin, marital status, age, weight, height, color or handicap in the hiring, promotion, payment or discipline of employees.

Note for disabled applicants:

If you are a person with a handicap, you may request any needed reasonable accommodation to participate in the application or interview process. This request should be made in advance so that we can make an accommodation.

Application Instructions

  1. Answer all questions fully and honestly. Not answering all questions can result in rejection or delay in considering your application.
  2. The Agreement section must be read and signed in order for you to be considered for employment with McBride Quality Care Services.

Please note - application must be complete in order to obtain an interview.

PERSONAL INFORMATION

EMPLOYMENT INTEREST

EDUCATION

Type of school Name and address Diploma or degree received Area(s) of specialization
High school
College
Graduate school
Other

EMPLOYMENT RECORD
(LIST LAST 3 JOBS HELD - LIST MOST RECENT FIRST)

SUPPLEMENTAL INFORMATION

MCBRIDE QUALITY CARE SERVICES REFERRALS -
List any one you know who currently works for McBride Quality Care Services.

Name Relationship to you Occupation Location (city):

REFERENCES

List names and addresses of three (3) people who have known you over 3 years. Please do not list relatives.

Name Relationship to you Address Occupation: Telephone:

Agreement

I agree that if I am offered employment by McBride Quality Care Services and accept, my employment will be employment at will and not for any specific duration, that my employment and compensation can be terminated, with or without cause, with or without notice, at any time, at the option of either McBride Quality Care Services or myself.

I am hereby informed and I understand that nothing contained in this application, any McBride Quality Care Services manual, handbook, or other written materials shall constitute an implied or expressed contract of employment. All such materials are presented for informational purposes only and can be changed at anytime by McBride Quality Care Services with or without notice. Furthermore, no employee or agent of McBride Quality Care Services, other than the Chief Executive Officer, has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and that any such agreements must be in writing and must be signed by the Chief Executive Officer of McBride Quality Care Services.

The information I have given on this application is complete, true and correct and I understand that falsification, misrepresentation, or omission on this or any other personnel record can result in rejection of my application and my termination if I am employed by the company.

I authorize my former employers and other individuals, schools, companies, corporations, courts and law enforcement agencies to give McBride Quality Care Services information concerning me, whether or not it is part of their written record, and I consent to the release to McBride Quality Care Services of personal information including but not limited to information concerning my work history, education, motor vehicle and criminal record, and I release all parties including the custodians of such records, from any liability whatsoever on account of providing such information to McBride Quality Care Services.

I agree that all parties to whom a photocopy of this signed agreement, authorization and release, is presented shall be entitled to rely on such photocopy and consider it as valid and enforceable as the original.

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