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Application for Employment

Position applying for
Are you at least 18 years old?
Have you lived in Missouri the last 5 years?
You are able to meet the physical demands required to perform specific tasks for the consumer?
Is there any reason you would not be able to perform the job duties?
Are you available for night shifts?
Are you seeking
I give Golden Life In Home Services my concent to conduct a pre-employment criminal record check
I authorize Golden Life In Home Services to conduct a closed record check pursuant to Section 610 120 RSMo
Are you listed on the EDL? (Employee Disqualification List)
Have you applied for a Good Cause Waiver?
Do you have a Driver's License?
Have you had any accidents in the past 3 years?
Have you had any moving violations in the past 3 years?
Have you ever been convicted of a felony?
Have you ever been convicted of a criminal offense (felony or serious misdemeanor)?
Are you a United States citizen or permitted which allows you to lawfully work in the US?
Are you ineligible to be employed with a Missouri Licensed health care entity as a result of being found guilty by a court of law for abuse?
Are you able to perform all the duties required by the position you are applying without endangering yourself or the client?
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