Menu

Employment Application

 
 
Do you have a High School Diploma or GED?
Hours:
Are you legally eligible to work in the U.S.?
Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment)
Do you have any pending criminal charges other than minor traffic violations?
WORK HISTORY

TB Skin Test Results Required. You are REQUIRED to upload or email your TB Skin Test before your application can be considered. You may take a TB Skin Test at your local county health department or medical provider. (You may also send your TB skin test results by email to: info@1sttrusthomecare.com). It's ok to send a picture or screenshot of the document. Pender Health Department (Hampstead) Phone: (910) 270-5001 Pender Health Department (Burgaw) Phone: (910) 259-1230 Onslow Health Department (Jacksonville) (910) 347-2154 Duplin Health Department (Kenansville) (910) 296-2130

I certify that the facts set forth in this Application for a Contract are true and complete to the best of my knowledge. I understand that if I am awarded a contract, false statements, omissions or misrepresentation my result in dismissal. I authorize First Trust Home Care Agency ("FTHCA") to make an investigation of any of the facts set forth in this application and release FTHCA from any liability. FTHCA may contact any listed references on this application. Also, by electronically signing this application, I authorized FTHCA to perform a criminal background check on me. I acknowledge that this application is for a contract position and that if awarded the contract, I am not an employee of FTHCA and may be dismissed at anytime with or without cause

Loading security check...