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Healthcare Employment and Nursing Jobs

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Pursuant to Title VI of the Civil Rights Act of 1964, the Rehabilitation Act of 1973, the Age Discrimination in Employment Act of 1975, the Vietnam Era Veterans Readjustment Act of 1984, Executive Order 11246, and the Americans With Disabilities Act of 1992, their implementing regulations, or any other federal, state or local law, order rule or regulation, First Call does not discriminate in the provision of services or in employment on the basis of age, race, color, marital status, religion, creed, sex, veteran or military status, national origin, physically or mentally disabled, or any other legally protected category.

Employment Application

Office to receive your application

Personal Information

Position Applying for:
License/Certification State:
Main Field of Experience:
Desired Assignments
Desired Shift:
Have you ever been convicted of a crime other than a minor traffic offense?

Employment History

Professional References

Please list the professional references who are LICENSED NURSES or Supervisors, EXCLUDING friends or relatives.

Agency Work History

Help us keep offering TOP PAY

First Call is an equal opportunity employer. First Call does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, marital status, or pregnancy, and to afford equal opportunities to disabled veterans, veterans of the Vietnam era, and individuals with a disability, or any other characteristic protected by Federal, State or Local law.


I hereby authorize the schools, companies, former employers and all other persons named in this application to give any information regarding my employment, education, driving record, conviction records or character. I hereby release the company and said schools, agencies, companies, former employers and all other persons named in this application from all liability for any damages resulting from issuing the information.


I agree, during my employment with the company, I am strictly prohibited from seeking or accepting employment, either directly or indirectly, in any capacity, from any home care, private duty or facility client assigned to me by the company. I am also strictly prohibited from seeking or accepting employment, either directly or indirectly, in any capacity from any home care, private duty or facility client assigned to me by the company after my assignment ends with any such client for any reason and for a period of ninety (90) calendar days thereafter.

We also explain this Non-Solicitation/Finder's Fee Policy to all company clients and enforce this policy against clients and employees who violate it. *Your violations of the policy may subject you to disciplinary action and/or legal action for which we will seek damages in an estimated amount of up to $10,000, as well as all other available remedies in laws and equity.


I agree that First Call has invested substantial time and effort in assembling its present staff of personnel.  Accordingly, I agree that for a period of one (1) year after terminating employment with First Call, I will not induce or solicit and First Call employees to leave First Call employment.


understand and agree that nothing contained in this employment application or granting of an interview creates an employment contract between the company and myself or either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no promise or guarantee is binding upon the company unless made in writing prior to the date of this application. If an employment relationship is established, I understand that my employment will be terminable "at will", that I will have the right to terminate my employment at any time, and that the company will retain a similar right to terminate my employment at any time.


I agree not to transport any client in my vehicle or their vehicle without the express knowledge and permission of the company.


I certify that the foregoing answers to the questions asked in this application and on the accompanying Work Experience Record are true and correct to the best of my knowledge. I understand that falsification of information or misinformation hereon may result in discharge at any time it becomes known by the company.


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