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Application for Employment

1 Contact Info
2 Position
3 Education
4 Experience
  • Date Format: MM slash DD slash YYYY
  • Valley Regional Home Health and Hospice, Inc., a California corporation (“Valley Regional Home Health and Hospice”) is an equal employment opportunity employer. The Company’s policy is not to discriminate against any applicant or employee based on race, color, sex, religion, national origin, age (40 and over), disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws. Valley Regional Home Health and Hospice also prohibits harassment of applicants or employees based on any of these protected categories. It is also Valley Regional Home Health and Hospice’s policy to comply with all applicable federal, state, and local laws respecting consideration of unemployment status in making hiring decisions.

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  • II. Position

    Additional details regarding the physical requirements for the job can be made available by request.
  • III. PERSONAL COMMENTS

  • IV. EDUCATIONAL BACKGROUND, MILITARY SERVICE, PROFESSIONAL POSITIONS, AND ADDITIONAL INFORMATION

  • EDUCATION:
  • High School:
  • College:
  • Technical/Postgraduate:
  • Other:
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  • V. EMPLOYMENT EXPERIENCE

  • Starting with current employment, if any, please list employment history in reverse order:
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  • REFERENCES: Please provide the names, addresses, and telephone numbers of two references who are not related to you:
  • VI. ACKNOWLEDGMENT AND SIGNATURE

  • I certify that all the information contained within this application (and any and all attachments) is true and correct to the best of my knowledge, and I understand that any false information or omissions may lead to the rejection of my application or, if I am employed, discipline up to and including termination at the time any such false information or omission is discovered.

    I authorize investigation of all statements contained within this application; authorize Valley Regional Hospice to secure information about my background and experience with former employers, educational institutions, and any relevant agencies; and authorize those parties to provide information to Valley Regional Hospice concerning my background and experience.

    I understand that, if I am employed, my employment with Valley Regional Hospice can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or the option of the company. I further understand that nothing in this application, or in any oral or written statement provided to me by Valley Regional Hospice will limit these rights to terminate my employment at will, and no representative of the company will have any authority to change this at-will relationship, unless such a change is authorized in writing and duly signed by the Mari Zakaryan, President of Valley Regional Hospice.

    I understand that any offer of employment is conditioned on my providing satisfactory proof of my identity and proof of eligibility to work in the United States. I further understand that this application is only valid for the position applied for at present and that Valley Regional Hospice is under no obligation to retain or consider this application for any future openings.

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  • This field is for validation purposes and should be left unchanged.

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559.431.3333
6311 N Fresno St, Suite 102
Fresno, CA 93710
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