1. Employer Information

Employer Caregiving Angels of Maryland, LLC
Address P.O. Box 2139
City/State/Zip Code Annapolis, MD 21401
Telephone 443-891-5530
It is the policy of Caregiving Angels of Maryland, LLC to provide
equal employment opportunities to all applicants and employees
without regard to any legally protected status such as race, color,
religion, gender, national origin, age, disabilit or veteran status.

2. Applicant Information

3. Emergency Contact

Who should be contacted if you are involved in an emergency?

4. Job Position

5. Applicant Skills

List any skills that may be useful for the job you are seeking. Enter the number the number of years of experience:

6. Employment History

List you current or most recent employment first. Please list all jobs which you have held, beginning with the most recent. If additional space is needed, continue on the back page of this application.

7. Applicants Education and Training

8. References

List any two non-relatives who would be willing to provide a reference for you.

CERTIFICATION

I certify that the information provided on this application is truthful and accurate.
I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.
I authorize Caregiving Angels of Maryland, LLC to contact former employers and education organizations regarding my employment and education. I authorise my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendence, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.
If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the emloyment relationship at any time without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Caregiving Angels of Maryland, LLC, except in a specific written contract of employment signed on behalf od the organization by its owner, has the power to alter or vary the voluntary nature of the employment relationship.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.