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Info@TMCCareServices.com

404-999-0906

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TMC Job Application

Thank you for choosing TMC Care Services, LLC. We look forward to working together with you in providing quality and efficient care for our patients. Our company was established to bring quality care into the homes of individuals who need assistance. We will work hard to get you the hours you desire and pair you with the best clients to fit your specialty of care. In addition to completing the hiring packet we will need copies of the following forms to complete your file:

  • Driver’s License and SS Card (for I-9)

  • Current License (if applicable)

  • Copy of CPR Card

  • Copy of TB (PPD skin test) within one year

  • Current BLS (Basic Life Support) if applicable

  • Current ACLS (Advanced Cardiac Life Support) if applicable

  • Current PALS (Pediatric Advanced Life Support) if applicable

The application process can seem overwhelming at first, but all the documents required are the same that are needed for hospital employment. We have built a good reputation for our meticulous record keeping and meeting stringent nurse, cna, and pca hiring requirements which also allowed us to gain more contracts and offer more shifts with fewer cancellations. We are honored that you have decided to join our team and allowing us to represent you in the healthcare industry.

If you have any questions, please feel free to contact our office at: 404-999-0906

Sincerely,

Hannah Grant, Administrator

I confirm that I want to receive content from this company using any contact information I provide.

Employment Desired

$

References

List below three persons not related to you who have knowledge of your work performance within the last three years. If this does not apply to you, then provide three school personal references that are not related to you.

Education and Training

Employment History

List below all present and past employment, starting with your most recent employer:

(List Last 5 Years)

License Information

Answer the following questions if applying for a professional position

Criminal History

Have you ever, under your name or another name, been convicted of a crime, which resulted with your being in prisoned and released from prison or paroled?

The following section is for employment within the healthcare industry in Georgia

Authorization

Personally, completed this form honestly and accurately 

By my signature below, I promise that I have personally completed this application. I declare under penalty of perjury that the information provided in this employment application (and accompanying resume, if any) is true and complete, and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justified for my dismissal from employment if discovered later. I understand that any job offer is conditional based on the satisfactory review of my qualifications including all background or drug screening which may be required.

Drug and Alcohol Screening

I give permission for a pre-employment drug/alcohol screening exam, and, if the company makes a conditional job offer, I give permission for a complete employment physical and mental examination. I also consent to the appropriate release of all medical information, as may be deemed necessary. (See separate agreement)

Authorization to obtain information

I voluntarily and knowingly authorize any present or past employer; supervisor; administrator; educational institution; law enforcement agency; state, local, or federal agency; credit bureau; collection agency; private business; military branch; the national personnel records center; personal reference; and/or other persons; to give records or information that may have concerning my criminal history, motor vehicle report, educational history, licensing, employment (including character, earnings history and reasons for termination) or any other information requested by the company requested to determine my eligibility for employment.

Release

I voluntarily waive all recourse and release any company, individual or organization from liability for complying with any request from the company or agents of the company (including any consumer reporting agency) to obtain any information from any source whatsoever relating to my application for employment. I further release the company or any individual within the company regarding the use any information received which may have bearing on my application for employment.

Notification and compliance with rules

I agree to immediately notify the company if I should be convicted of a crime while my job application is pending, or during my employment if hired. If I become employed, in consideration of my employment, I agree to comply with the rules, regulations, policies and procedures of the company. I certify that all the information provided by me on this Application is true and accurate.

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TMC Care Services, LLC. provides in-home care for individuals who are disabled, autistic, may have suffered traumatic brain, injuries, medically fragile, mentally disabled, or handicapped.

Contact Us

  • Info@TMCCareServices.com

  • 404-999-0906

56 Perimeter Center E Ste 150 Atlanta Ga 30346

© Copyright 2023. TMC Care Services LLC. All rights reserved.