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Employment Application

Introduction
Any sensitive information (social security number, banking information, etc) will be encrypted for your protection.
Employee Information
Collects primary contact and emergency contact information.
General Info
Collects general information about the position you’re applying for.
Education
Collects high school, college/university and other formal education.
Direct Deposit
Collects the direct deposit information. This information is encrypted.
Employment
Collects your current and previous employment history and skills.References
Collects two (2) required professional references.
Policies & Signature
Review the company policies (Grounds for Immediate Termination, Employee Policies and Procedures, Abuse Neglect & Exploitation Acknowledgement, Substance and Abuse Policy Notification, Applicant’s Certification and Agreement) and complete the application.
Begin your application   Employment Application
All Major Insurances Accepted

A Hug Away Healthcare, Inc. will always maintain patient privacy and adhere to the Health Insurance Portability and Accountability Act (HIPAA) of 1996.

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