Employment Application

For the below fields, please begin with current or most recent employer or position with employer:

EMPLOYER 1

EMPLOYER 2

EMPLOYER 3

Inspired By You requires that all applicants submit two references, which must include: current or former employers, supervisors, teachers or others qualified to objectively evaluate your ability to work in the position for which you have applied. Please list the reference information indicated below. Inspired By You will be contacting each reference listed.

Reference 1

Reference 2

We at Inspired By You are pleased you are interested in becoming a member of our Company. We are proud of our excellent reputation and the services we provide. We value diversity and want your work experience to be enjoyable. To help ensure a safe work environment and excellent services we carefully screen the background of all applicants. This screening may include an oral interview, as well as an investigation of your work history, criminal conduct, driving record, application information, and reference check.

APPLICANT DECLARATION OF UNDERSTANDING

• I understand that Inspired By You may conduct an investigation of the information I have noted on this application and, as part of that investigation, may contact prior employers and references, among others.
• I authorize Inspired By You to conduct this investigation and I release from all liability and hold harmless any person giving or receiving information about me relative to this investigation.
• I understand that any falsification, misrepresentation, or omission of information discovered as a result of this investigation may prevent me being hired or if hired, may subject me to the immediate termination of my employment with Inspired By You.
• I understand that Inspired By You requires an applicant to disclose criminal history if selected for an interview, or if a conditional offer of employment has been made, the decision may be subject to a criminal background check.
• I understand that this application process does not create an employment contract.
• I understand all employment at Inspired By You is "at-will." This means, if Inspired By You employs me, my employment is not for a specified or definite period of time and that I may resign or be discharged from my position at any time, for any reason, with or without cause or prior notice.
• I understand that the "at-will" policy listed above cannot be changed or amended without a formal written employment agreement signed by me and by a member of the Board of Directors of Inspired By You.
• I declare that I have never committed nor been charged or convicted of any act of abuse, neglect, exploitation or fraud in relationship to a dependent/vulnerable child or adult, within the past 10 years.
• I declare that I have never knowingly violated any applicable rules or laws in any previous employment in a residential healthcare or similarly related employment.
• I declare that the Office of Inspector General from participating in the Medicaid or Medicare programs has never excluded me.

Inspired By You supports the principles of equal employment opportunity. Inspired By You is dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, national origin, the presence of mental, physical, or sensory disability, sexual orientation, or any other basis prohibited by federal, state, or local laws.

If desired, you may upload two of your personal documents that identifies you.