CNA (Certified Nursing Assistant)

Please list three professional references.

By typing your name and the date, you count this as your legal signature. I certify that my answers are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days, any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and Employer may discharge Employee at any time with or without cause. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in the discharge, I understand also, that I am required to abide by all rules and regulations of the Employer.