Inland Home Health Providers
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    Online Application



    List healthcare, business or industrial equipment you can operate.

    $X per hr/month
    $X per hr/month

    (If hired, you will be required to provide proof of your legal right to work)


    References
    Three former supervisors, managers or teachers other than relatives.



    Inland Home Health Providers, Inc. (IHHP) is committed to a policy of equal employment opportunity and considers all persons without regard to race, color, religion, age, sex, national origin, disability, marital status, veteran’s status, or any other legally protected classification as defined by city, state, and federal law.

    Certification and Acknowledgment (Please read carefully and sign)
    • I certify that all of the information I have provided on this application and on any accompanying documents is true and correct. I understand that any false statements I have made herein on my failure to disclose requested information may disqualify me from consideration for employment or if employed may result in my termination.
    • I hereby authorize IHHP, its agents and employees to contact any reference provided by me during the application process, and I authorize all references all so contacted to release any information about me that they may have. I further authorize IHHP or its agents to perform an investigation of local, state and federal records relating to any criminal conviction I may have. I release IHHP, its agents, officers and employees and any reference contacted by IHHP from any and all liability that may result from any investigation or reference check.
    • I understand and acknowledge that I may be required to undergo a post-offer, pre-employment physical exam, and a post-offer, pre-placement drug screening and analysis for substance abuse. I understand that the result may to the extent permitted by law, result in the revocation of any offer of employment.
    • I understand and acknowledge that nothing contained in this application or in any interview which I may be granted is intended to create a contract of employment between IHHP and me. I further understand and acknowledge that if I am offered employment, I am free to terminate my employment at any time, for any reason, and the company retains the same right.
    *Signature will be required when you come in.
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[email protected]
Phone: 909.948.8731
Fax: 909.948.8736
  • Home
  • About Us
  • Our Services
  • Careers
  • Contact Us
  • Resources
    • News
    • General Resources
    • Home Health Resources
    • FAQ
    • Testimonials
    • Patient Referral