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Position
(DSP)DIRECT SUPPORT PROFESSIONAL
CNA
RN
Others
Employment Desired
Full time (40 hours)
Part time (30 hours)
12-Hour Shifts
Shift or Split Shift
Other Position
Will you accept work anywhere in Georgia?
Yes
No
Are you related by blood or marriage to any person now working for Jubilee PCH Inc.?
Yes
No
In case of EMERGENCY notify
Name
Address
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Are you employed now?
Yes
No
Are you on layoff and subject to recall?
Yes
No
Ever applied for this company before?
Yes
No
Will you work overtime if required?
Yes
No
Will you travel if required?
Yes
No
Are you able to meet the attendance requirements of this position?
Yes
No
Have you ever been convicted of a felony in the past 7 years?
Yes
No
Have you ever been convicted of a misdemeanor in the past 7 years?
Yes
No
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