Applicant Note: Premier Home Health Care is an equal opportunity employer. All qualified applicants will receive consideration for employment without discrimination because of sex, marital status, race, age, creed, national origin or the presence of disability. If you need help to fill out this application form or for any phase of the employment process, please notify the person that gave you this form, and every effort will be made to accommodate your needs in a reasonable amount of time. Additional testing of job-related skills may be required prior to employment. All facts, records, and information obtained will be held in the strictest confidence.
Please complete all pages. When you finish a page, click "next". When you reach the last page you will need to click "submit/finish" otherwise the application will not be sent.