AllStaff HomeCare/Rocky Mountain Hospice
Employment Application

AllStaff HomeCare and Rocky Mountain Hospice applicants need to have:

  • Ability to read, write, and speak English proficiently
  • High school diploma or equivalent, degrees/certifications/license
  • Two professional work references
  • Current drivers license
  • Current auto insurance
  • Criminal background check
  • Clear driving record
  • Pass a drug test
  • Provide recent physical, TB, x-rays, Hep B and MMR shot records

A PDF version of this application can be found here


Online Application




EMPLOYMENT HISTORY

(Begin with current or most recent employer)

Company One

Company Two

Company One

References

Reference One

Reference Two

Reference Three

Are you legally eligible to work in the United States?

Are you over the age of 18?

Can you with or without reasonable accommodation perform the essential functions of this job?

Have you ever applied to AllStaff Medical Resources, Inc. before?

Have you ever worked for AllStaff Medical Resources, Inc. before?

Have you ever been convicted of a felony?


APPLICANT ACKNOWLEDGMENT AND AUTHORIZATION PLEASE READ CAREFULLY BEFORE SENDING

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by AllStaff Medical Resources, Inc. (hereinafter referred to as "[COMPANY]") that such employment with [COMPANY] is at will, for no specified duration and may be terminated by either [COMPANY] or myself at any time, with or without cause or notice. I understand that none of the documents, policies procedures, actions, statements or [COMPANY] of its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of [COMPANY] except the President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President of [COMPANY].

In consideration for employment with [COMPANY], if employed, I agree to conform to the rules, regulations, policies and procedures of [COMPANY] at all times and understand that such obedience is a condition of employment. I understand that due to the nature or [COMPANY] business, attendance and punctuality are considered essential requirements of every job at [COMPANY] and that poor attendance or tardiness will result in disciplinary action.

In consideration for employment with [COMPANY], if employed, I agree to conform to the rules, regulations, policies and procedures of [COMPANY] at all times and understand that such obedience is a condition of employment. I understand that due to the nature or [COMPANY] business, attendance and punctuality are considered essential requirements of every job at [COMPANY] and that poor attendance or tardiness will result in disciplinary action.

I herby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to [COMPANY] and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.

I agree

BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS