IHELP IS AN EQUAL OPPORTUNITY EMPLOYER

All applicants will be subject to verification of employment and educational history. New hires may also be subject to criminal background checks. Each applicant must answer all questions on this application accurately, thoroughly and honestly. Some questions may not pertain to the position for which you are applying. (Items in BOLD are required.)


PERSONAL INFORMATION





EDUCATIONAL RECORD

High School

GED/HS Equivalent

College/University

College/University


CTRL-click to select multiple certifications.
List additional degrees/certifications here.


EMPLOYMENT EXPERIENCE

In the spaces below, account for ALL TIME, including unpaid or volunteer work service and periods of unemployment, for the PAST 10 YEARS. Give complete names and addresses. If self-employed, give firm name and one business reference.

NOTE: To list additional employers, include in resume (uploaded below).

Employer 1 Info

Present or previous employer (list firm name)
Number and Street

Employer 2 Info

Present or previous employer (list firm name)
Number and Street

Employer 3 Info

Present or previous employer (list firm name)
Number and Street

Job Knowledge and Special Skills

Other Employment


BACKGROUND INFORMATION

NOTE: Any employment offer, if made, may be contingent upon passing a background check.

HAVE YOU BEEN CONVICTED OF A FELONY OR CRIMINAL CONVICTION UNDER HEALTHCARE FRAUD AND ABUSE LAWS AS WELL AS EXCLUSION FROM
FEDERALLY FUNDED HEALTHCARE PROGRAMS?

(Arrests are not convictions; do not include convictions that have been sealed, expunged or set aside.)

HAVE YOU BEEN CONVICTED OF A MISDEMEANOR?

(Arrests are not convictions; do not include convictions that have been sealed, expunged or set aside.)

APPLICANT SHOULD OMIT ANY CONVICTIONS FOR THE POSSESSION OF MARIJUANA THAT ARE MORE THAN TWO (2) YEARS OLD (EXCEPT FOR CONVICTIONS FOR THE POSSESSION OF MARIJUANA ON SCHOOL GROUNDS OR POSSESSION OF CONCENTRATED CANNABIS). APPLICANT ALSO SHOULD OMIT ANY INFORMATION CONCERNING A REFERRAL TO, AND PARTICIPATION IN, ANY PRE-TRIAL OR POST-TRIAL DIVERSION PROGRAM.


Have you ever been involuntarily discharged or asked to resign from employment for any reason?


PROFESSIONAL REFERENCES

Reference 1

Reference 2

Reference 3


RESUME

If you have a resume, you may upload it here.

Upload filesize limit is 8 MB.

TERMS AND AGREEMENT

I certify that I have not withheld any information that might adversely affect my chances for employment with International HealthLink Professionals, Inc. and that the information given by me is true and complete to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of information made orally, on this application or on any other document used to secure employment shall be grounds to disqualify me from employment or subject me to discipline, including immediate discharge, if I am hired, regardless of the time elapsed before discovery. I hereby authorize International HealthLink Professionals, Inc. and its representatives and agents to contact any reference, school, employer or organization listed on this application. I authorize persons, schools, my current employer (if applicable), and previous employers and other organizations contacted by International HealthLink Professionals, Inc. to provide any relevant information regarding my current and/or previous employment, education and qualifications, and I release all persons, schools, employers and other organizations of any and all claims for providing such information. If hired, I understand and agree that I will be an at-will employee and that my employment may be terminated by either IHELP, Inc. or me at any time without prior notice for any reason.


PLEASE NOTE:

If form does not submit, please go back and ensure that you have completed each required field. Thank you.