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Chancellor Health Care is an Equal Opportunity Employer.  All applicants and employees will be treated equally in conformity with all existing laws; as such, we make reasonable accommodations for applicants with disabilities during the recruitment process, subject to undue hardship. 

In answering the questions below, if you have any doubts as to their propriety or legality, contact us at Info@ChancellorHealthCare.com for an explanation of the questions.  If you still have doubts, do not answer the specific question. All information will be treated confidentially. If space is inadequate in any area, upload an additional document where it is indicated to upload your resume.

To assist us in giving you every consideration for employment, please keep us notified of any significant changes to be made on your application.

Please tell us your name

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Please tell us your email address

DESIRED EMPLOYMENT INFORMATION


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Chancellor Health Care abides by the Immigration Reform and Control Act of 1988 and requires all employees to provide documentation for verification of identity and work eligibility.

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For reasons of supervision, safety, security and morale, Chancellor Health Care will not employ immediate family members for positions in working proximity with their family members.

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RESUME

(If you have a resume you would like to upload please select file and skip to the end of the form. If you do not have a resume to upload, please continue filling out the rest of this form.)


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EDUCATION

 

High School


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College


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Other Schooling


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LICENSE/CERTIFICATION


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WORK EXPERIENCE

List below your work experience, starting with your present or last place of employment.  Please account for all the time during which you were not employed, in the military, in school or training since the age of 18.

EMPLOYMENT #1


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EMPLOYMENT #2


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EMPLOYMENT #3


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MILITARY SERVICE


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Computer Skills


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REFERENCES

List below three people not related to you.

REFERENCE #1


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REFERENCE #2


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REFERENCE #3


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Applicants in California (except those who are applying to work in a Residential Care Facility for the Elderly), Illinois and Oregon do not need to answer the following questions:

Please select one

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Disclaimer, Certification and Electronic Signature

I hereby certify that the facts set forth above are true and complete, and I authorize Chancellor Health Care to investigate any and all of the statements that I have made. I also authorize all persons and institutions, including my previous employers and the schools that I attended, to provide Chancellor Health Care with any information that it requests in connection with this investigation. I hereby release all of these persons and institutions and Chancellor Health Care from any and all liability for any damages arising from the investigation. I understand that, if employed, false statements on this application or omissions of material information my result in my termination. If employed, I agree to abide by all Chancellor Health Care rules and regulations as they now or may exist and that failure to do so my result in termination.

I understand that any offer of employment is contingent upon my successful completion of a satisfactory reference check and, where applicable, pre-employment physical examination, drug screen, and/or criminal background check. I further understand that, within the timeframe specified by Chancellor Health Care, I must produce applicable documents showing that I am a United States citizen or alien lawfully authorized to work in the United States.

I understand and agree that, if employed, either Chancellor Health Care or I will be free to terminate the employment relationship at any time for any reason, without cause and without notice. I understand and agree that this writing shall constitute the entire agreement between Chancellor Health Care and me on the subject of the length of my employment and the circumstances under which it may be terminated and that there are no oral or collateral agreements pertaining to these issues. I also understand and agree that no representative of Chancellor Health Care other than its CEO has the authority to enter into any future agreement, either expressed or implied, restricting in any way Chancellor Health Care’s right to terminate employment and that, to the extinct the CEO enters into such a future agreement, it may only be in writing.


Please authorize that you have read and approve the information above.

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