Juniper Home Care – Employment Opportunities Apply On-line

We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national
origin, age, disability, or any other consideration made unlawful by applicable federal, state, and local laws.
This information is required *

Criminal convictions will not automatically disqualify an applicant from a particular job. We Place will consider the
nature of the crime, its seriousness, whether the conviction(s) substantially relates to the position’s functions and
qualifications, the frequency of convictions, the applicant’s age at the time of conviction, the time elapsed since the date of
conviction or completion of jail sentence, the applicant’s entire work and educational history, and employment references
and recommendations.
An ex-offender who is denied employment may, upon written request, receive a statement of the reason(s) for denial within
30 days of the applicant’s request for such information.

CALIFORNIA APPLICANTS: This does not include convictions under the California Health & Safety Code subsection 11357(a) or (b), 11360(c), 11364, 11365, or 11550 related to marijuana which occurred two or more years before the instant application

CONNECTICUT APPLICANTS: Applicants are not required to disclose the existence of any arrest, criminal charge, or conviction, the records of which have been erased. Criminal records subject to erasure are records pertaining to a finding of delinquency or the fact that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge that has been dismissed or nolled (not prosecuted), a criminal charge for which the person was not found guilty, or a conviction for which the offender received an absolute pardon. Any person whose criminal records have been erased is deemed to have never been arrested within the meaning of the law as it applies to the particular proceedings that have been erased, and may so swear under oath.

MASSACHUSETTS APPLICANTS: Applicants for Employment with a sealed record on file with the Massachusetts Commissioner of Probation may answer "No Record" with respect to all inquiries relating to prior convictions.

Education

High School

Work Experience
Start with your present or last place of employment. You may include any verifiable work performed on a volunteer basis,
internships, or military service.

References

Please list the names of additional work related references we may call. Individuals with no prior work experience may list school or volunteer related references

Applicant Certification

I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued
employment is contingent on processing a valid driver’s license and automobile liability insurance in an amount equal to the
minimum required by the state I reside.
I understand that the Company is a drug-free workplace and has a drug-testing program consistent with applicable federal,
state, and local law. Since the Company has a drug-testing program and if I am offered a conditional offer or employment, I
understand that if a pre-employment (post-offer) drug test is positive, the employment offer may be withdrawn. I agree to
work under the conditions required by the Company that are consistent with federal, state, and local law. I also understand
that all employees, pursuant to Fredonia Place’s policy and federal, state, and local law may be subject to urinalysis and/or
blood screening or other medically recognized tests designed to detect the presence of alcohol or controlled drugs. If
employed, I understand that the taking of drug tests is a condition of continual employment and I agree to undergo drug
testing consistent with the Companies policies and applicable federal, state, and local law.
If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local
law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to,
files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property.
I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be
required to sign a confidentiality, non-compete, and/or conflict of interest statement.
I certify that all the information on this application, my resume, or any supporting documents is complete and accurate to the
best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in
disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate
dismissal.

I UNDERSTAND THAT NEITHER THIS APPLICATION NOR ANY COMMUNICATION BY A MANAGEMENT REPRESENTATIVE IS
INTENDED TO CREATE OR DOES CREATE A CONTRACT OF EMPLOYMENT, OFFER, OR PROMISE OF EMPLOYMENT. I
ACKNOWLEDGE THAT IF HIRED BY THE COMPANY, EMPLOYMENT IS ON AN AT WILL BASIS. THIS MEANS THE COMPANY IS
FREE TO TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE OR ADVANCED NOTICE, IN
ACCORDANCE WITH STATE LAW, AND ACCEPTANCE OF EMPLOYMENT IS NOT A CONTRACT OF EMPLOYMENT FOR ANY
SPECIFIED TIME. SIMILARLY, I AM FREE TO TERMINATE MY EMPLOYMENT WITH THE COMPANY AT ANY TIME FOR ANY
REASON. THIS AT WILL PROVISION MAY BE MODIFIED OR WAIVED ONLY IN A WRITTEN AGREEMENT SIGNED BY AN
AUTHORIZED REPRESENTATIVE OF THE COMPANY AND ME. I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF
THE COMPANY, AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND
REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT WILL.

I authorize the Company or its agents to confirm all statements contained in this application and/or resume as it relates to
the position I am seeking and to the extent permitted by federal, state, and local law. I agree to complete any requisite
authorization forms for the background investigation.
I authorize and consent to, without reservation any party or agency contacted by this employer to furnish the abovementioned
information. I hereby release, discharge and hold harmless, to the extent permitted by federal, state, and local law,
any party delivering information to Fredonia Place or its duly authorized representative pursuant to this authorization from
any liability, claims, charges, or causes or action, which I may have as a result of the delivery or disclosure of the above
requested information. I hereby release from liability the Company and its representative for seeking such information and
all other persons, corporations, or organizations furnishing such information.

If hired by this Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States. I also understand that this Company employs only individuals who are legally eligible to work in the United States.

If the applicant is a minor, the foregoing release and consent must be signed by the applicant’s parent or legal guardian.
Signature by the applicant’s parent or legal guardian constitutes acknowledgement by the applicant and the parent or legal
guardian that the Company, to the extent permitted by federal, state, and local law, can test the applicant for controlled
substances, conduct inspections of property without notice, and communicate screen results to the Companies personnel who
need to know, the applicant, and the applicant’s legal guardian.

UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST, AS AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100

UNDER MASSACHUSETTS LAW, IT IS UNLAWFUL FOR AN EMPLOYER TO REQUIRE OR TO ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT.

FEDERAL AND/OR STATE LAW MAY PROHIBIT THE USE OF POLYGRAPH OR SIMILAR TESTS AS WELL

THIS APPLICATION MAY NOT BE APPLICABLE FOR ALL INDUSTRIES.

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