Quincy Healthcare and Senior Living

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info@quincyhcc.com

1440 North 10th Street Quincy, Illinois 62301

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Quincy Healthcare and Senior Living
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1-217-224-3780

info@quincyhcc.com

1440 North 10th Street Quincy, Illinois 62301

Quincy Healthcare and Senior Living
Menu
Quincy Healthcare and Senior Living

Rehab To Home

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Quincy Healthcare and Senior Living

Our caring, capable team ready to answer any questions or concerns you may have.

1-217-224-3780

Quincy Healthcare and Senior Living Application For Employment

    Elementary School

    High School

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    College

    Graduate

    Company 1

    Company 2

    Company 3

    Company 4

    Please list 3 references - including address and phone number. (DO NOT INCLUDE RELATIVES)

    Reference 1

    Reference 2

    Reference 3

    I hereby authorize Quincy Healthcare and Senior Living to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered. If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or Quincy Healthcare and Senior Living can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law. I understand that it is the policy of Quincy Healthcare and Senior Living not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that persons need for a reasonable accommodation as required by the ADAAA. I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.

    By typing my name in the following box I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information. I acknowledge that my typed signature will be as binding as my actual signature