Employment Opportunities

Help Make a Notable Difference in the Lives of
Senior Citizens and People with Disabilities in East Tennessee

If you are interested in career opportunities with HHHA, please complete the online application below. (Allow 20 minutes.)

Part 1 of 4 - Employment Application

Categories of Employment (select one)

 





Pay Expected:

 
Minimum Requirements

 
Please answer each question below. If you do not meet these minimum requirements, we cannot consider you for employment.

 

Yes No  

Have valid Driver's License

Have your own vehicle

Have auto insurance (minimum of liability)

Have flexible hours

Can be available every other weekend

Have high school diploma or G.E.D.

Can pass criminal background check

Can pass drug test

 

HHHA is a
drug-free workplace!
 
Personal Information
   
First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
County of Residence
Previous Address:
Home Phone:
Cell/Mobile Phone:
Email:
  NOTE: You must enter a valid email address or your application will not be received.
   
Best time to Contact:
   
Emergency Contact Name:
Emergency Contact Address:
Emergency Contact City:
Emergency Contact State:
Emergency Contact Zip Code:
Emergency Contact Phone:
Emergency Contact Cell Phone:
Emergency Contact Email:
Emergency Contact Relationship:
   
Have you worked for HHHA?
If yes, when? Month    Year
   
Are you Legally eligible to work in the U.S.?
   
Have you ever been convicted of a felony?
If yes, explain:
   
Tell us about yourself
and why you want to join our TEAM:
   
How did you hear about us?
 
Work Availability
   
Available to Start:
   
Are you looking for:
   
When are you available? Morning Afternoon Weekends
Evening Overnight
   
Hours Available:

(check all that apply)
Monday to
Tuesday to
Wednesday to
Thursday to
Friday to
   
"I acknowledge that if hired, my work schedule will be based on the above availability including every other weekend."
   
Every Other Weekend
Hours Available:

(check all that apply)
Saturday to
Sunday to
   
In what counties
are you available to work?
   
Do you have any appointments, vacations, etc. scheduled within the next 6 months that would prevent you from working? If so, please explain.
 
Employment History (beginning with most recent)
 

Employer 1
Employer:
Name: 
Address: 
City: 
State:
Zip: 
Phone:  Fax:
Supervisor:
Dates of Employment:
Starting Pay Rate:
     Ending Pay Rate: 
Present or Final Postion:
Job Duties:
Reason for Leaving:
                         May we contact this employer?
 

Employer 2
Employer:
Name: 
Address: 
City: 
State:
Zip: 
Phone:  Fax:
Supervisor:
Dates of Employment:
Starting Pay Rate:
     Ending Pay Rate: 
Present or Final Postion:
Job Duties:
Reason for Leaving:
                         May we contact this employer?
 

Employer 3
Employer:
Name: 
Address: 
City: 
State:
Zip: 
Phone:  Fax:
Supervisor:
Dates of Employment:
Starting Pay Rate:
     Ending Pay Rate: 
Present or Final Postion:
Job Duties:
Reason for Leaving:
                         May we contact this employer?
 

Employer 4
Employer:
Name: 
Address: 
City: 
State:
Zip: 
Phone:  Fax:
Supervisor:
Dates of Employment:
Starting Pay Rate:
     Ending Pay Rate: 
Present or Final Postion:
Job Duties:
Reason for Leaving:
                         May we contact this employer?
 
Education
   
Education Completed:

(check all that apply)
High School Diploma
  Name: 
  City: 
GED Certificate
  Name: 
  City: 
Vocational or Business School
  Name: 
  City: 
Some College
  Name: 
  City: 
College Degree
  Name: 
  City: 
Graduate Degree
  Name: 
  City: 
   
List Licenses and Certifications:
1
  Issuing state? Expire Date:
     
2
  Issuing state? Expire Date:
   
3
  Issuing state? Expire Date:
   
What languages do you speak?
   
Additional Skills:

(check all that apply)		 Personal Computer
Fax Machine
Copier
Type: WPM
Switchboard
Calculator
10-Key Adding Machine
Software
Microsoft Windows
Macintosh
Other:
 
Employment Policy
 

You must be at least 18 years old to work for Helping Hands Home Assistance, Inc. (HHHA), have a valid driver’s license, automobile insurance and reliable transportation. You must be willing to take various required vaccinations (i.e., TB & Hepatitis B). HHHA, Inc. is committed to a Drug Free Environment and tests for illegal drugs according to local regulations. HHHA prohibits weapons on company and at client homes regardless of a carrying permit (refer to No-Weapon Policy). Must pass a background check and be bonded. While employed at HHHA, Inc. and within six months post-employment with the company, you are prohibited from negotiating for, or entering into, services provision or personal contracts with HHHA, Inc clients (active or inactive), their agent, and client providers for the purpose of serving HHHA, Inc. clients (active or inactive). Both you and client will be liable and legal action taken. Should you become employed and voluntarily terminate your employment with Helping Hands Home Assistance, Inc. for any reason without giving at least two (2) weeks prior notice, your pay rate for all unpaid hours will be reduced to the then current Federal Minimum Wage rate per hour. You must abide by our strict client confidentiality policy – violations will result in immediate termination and possible legal action. Soliciting or accepting gratuities, favors, or anything of monetary value from any HHHA, Inc. client or contractor is prohibited.

   

I certify that all information furnished on this form and during the application process is true, complete, and correct to the best of my knowledge. I understand that misrepresentation or omissions of facts called for, are causes for refusal to hire or for dismissal at any time without any previous notice. I authorize the investigation of all matters contained in this application and hereby give Helping Hands Home Assistance Inc. permission to contact schools, previous employers, references, and others (except as specified on the front of this application), and hereby release Helping Hands Home Assistance Inc., and those it contacts from any liability as a result of such contact.

I further understand that this application will remain active for a period of one hundred and twenty (120) days. After that time, if I desire further consideration, I will renew my application in person or by mail.

   
 
 

Helping Hands Home Assistance is an equal opportunity employer
and complies with all applicable laws and regulations
regarding equal employment opportunities.
 

 

Send mail to info@helpinghandshomeassistance.org with questions or comments about this web site.
Copyright © 2008 Helping Hands Home Assistance, Inc.

 

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