Application

PERSONAL INFORMATION

Please list the skills and qualifications you possess for the position for which you are applying. (Note: Advanced Home Health and Hospice NW of Wenatchee complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. )

HIGH SCHOOL

COLLEGE

VOCATIONAL OR SPECIALIZED SCHOOLING

PREVIOUS EMPLOYMENT 1

PREVIOUS EMPLOYMENT 2

REFERENCES

AT-WILL EMPLOYMENT The relationship between you and the Advanced Home Health and Hospice NW of Wenatchee is referred to as "employment at will."This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Advanced Home Health and Hospice NW of Wenatchee. No representative of Advanced Home Health and Hospice NW of Wenatchee has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice- President/Chief Operations Officer or the Company's President.