HomeCare of Mid-Missouri (HCMM) is an Equal Opportunity Employer.  Our policy provides employment, compensation and benefits related to employment based upon qualifications, without regard to race, color, religion, national origin, age, sex, veteran status, disability or any other basis prohibited by federal, state, or local law.  In accordance with requirements of the ADA, it is our policy to provide reasonable accommodation upon request during the application process to eligible applicants so they may be given a full and fair opportunity to be considered for employment.  We intend to comply fully with applicable Federal and State employment laws and the information requested on this application will only be used for purposes  consistent with those laws.  Applications are active for ninety (90) days from the date application is received in our office.  HCMM participates in E-Verify.  Applicants must be legally authorized to work in the U.S.

Office Location

Personal Information

Section 1 - General Information

Section 2 - Background Information

Section 3 - Employment Verification

Section 4 - Current or Last Employment

Section 5 - Employment History

Section 6 - Military Service

Section 7 - Education

Section 8 - Other Training: Certifications/Licenses

Section 9 - Additional Information

Section 10 - Reference 1

Section 11 - Reference 2

I certify that this application contains no willful misrepresentation or falsification and that the information given by me is true and complete to the best of my knowledge and belief.  I am aware that should an investigation, at any time, disclose any such misrepresentation, omissions of fact, incomplete answers in any application document or falsification as to a material fact, my application will be rejected.  I further understand that if employed and subsequently misrepresentations and/or omissions are discovered, I will be terminated from my position. 

I understand due to the vulnerability of the clients this agency serves, I must be registered with the Family Care Safety Registry and am responsible for correcting any errors or inaccurate information disclosed to this agency by the Registry.  I further uderstand that should information about me appear on the Registry at any time, before or during any employment with this agency, my application my be rejected and/or my employment may be suspended, terminated or both and continued employment if any, will be dertermined after evaluating the information on the Registry and the issuance of a "Good Cause Waiver".  I am responsible to apply for a "Good Cause Waiver" if necessary. 

I EXPRESSLY AGREE AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS NOT FOR A SPECIFIC TERM, IS BASED ON MUTUAL CONSENT AND MY BE TERMINATED BY ME OR THE AGENCY WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME.  I FURTHER UNDERSTAND THAT NO ORAL PROMISE, AGENCY POLICY, CUSTOM, BUSINESS PRACTICE OR OTHER PROCEDURE (INCLUDING THE BASIC EMPLOYMENT POLICIES, PERSONNEL OR DEPARTMENTAL HANDBOOK, OR ANY PERSONNEL MANUALS) CONSTITUTES AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL EMPLOYMENT RELATIONSHIP BETWEEN ME AND THE AGENCY.  I ALSO UNDERSTAND THAT THIS ASPECT OF MY EMPLOYMENT MAY NOT CHANGE ABSENT AN INDIVIDUAL WRITTEN AGREEMENT SIGNED BY BOTH ME AND THE EXECUTIVE DIRECTOR OR AUTHORIZED REPRESENTATIVE OF HOMECARE OF MID-MISSOURI.

I understand I may be required to maintain a reliable and continuous method of transportation necessary to perform the duties of my job, if hired, and to provide notarized documents granting me permission to use vehicles I do not own and to provide proof of insurance for any vehicle I may drive.  I further understand I may be required to take job related tests and drug and/or alcohol tests during my employment, if hired.