If applicable for reference checks
List current and former employers beginning with the most recent.
Please list 3 professional references not listed as previous supervisors.
Additional information and explanations as requested above may be attached as part of this application. A professional resume may also be submitted to provide supplemental information, but does not replace this form.
Signature release: I hereby declare the information provided by me in this Application for Employment is true, correct, and complete to the best of my knowledge. I authorize Walla Walla Community Hospice to inquire as to my record with any or all of my former employers or references with no liability arising there from. I understand that if employed any misstatement or omission of fact on this application shall be considered sufficient cause for dismissal.
If I am employed, I realize that it will be on a conditional basis pending completion of a background check. I further understand that my employment is contingent upon the checking of references furnished by me.
All applicants shall be subject to being physically examined and/or chemically tested for the presence of alcohol and drugs. The employment process shall be terminated for individuals whose examination and/or tests are positive or who refuse to consent to such testing.
I understand that if I am hired, my employment at Walla Walla Community Hospice is not for any specific duration of time. Either I or WWCH may terminate my employment at any time for any reason with or without notice. I understand that the Executive Director is the only person who is authorized to enter into a contract with an employee that alters or modifies the ‘at will’ status of my employment.
Walla Walla Community Hospice is an equal opportunity employer and a smoke-free environment.
Walla Walla Community Hospice does not discriminate against individuals because of their race, color, creed, religion, national origin, sex, sexual orientation, age, marital status, disability, or status as a disable veteran or Vietnam war era veteran.