Online Application

Have you ever been employed with us before?

If you are under 18 years of age, can you provide required proof of eligibility to work?

If hired, can you furnish proof that you are eligible to work in the United States?

Have you ever been convicted of healthcare fraud, have you ever been convicted of a crime, have you ever beenassessed and paid any civil monetary penalties in connection with offenses related to the provision of health careor are you listed by a federal agency as excluded, debarred or otherwise ineligible to participate in federally funded health care programs?

I certify that the answers given herein are true and complete to the best of my knowledge, I authorize investigation of all statements contained in this application for employment as may be necessary in arrive at an employment decision.

This application for employment shall be considered active for a period of forty five (45) days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at this time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “At will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

I understand that at no time am I to render services beyond normal assigned tour of duty without express authorization from MZL Homecare Agency. I am also aware that is my responsibility to contact MZL Home Care Agency to check if other/more work is available. If I fail to contact MZL Home Care Agency, I am aware that MZL Home Care Agency will assume that I am not available for work.