Ann Arbor Partners in Personal Assistance on Facebook Ann Arbor Partners in Personal Assistance on LinkedIn

For Telecommunications Relay Service with TTY dial 711

Partners in Personal Assistance | Home Health Care Ann Arbor

Home

Announcements

Mission Statement

Scope Of Service

Code of Ethics

Self Determination

PPA Beginnings

Training Programs

Directors and Staff

Calendar of Events

Newsletter

Forms & Logs

Mailing List

Donations

Shop PPA Online Store

Advocacy

Testimonials

In Memory of Lena Ricks

Contact Us

Glossary of Terms

Frequent Questions

Resources

Links

Anonymous Reporting

Privacy

PPA Bylaws

Articles of Incorporation

Conflict of Interest Policy

PPA Application Online Form

Personal Assistant-Employee





In Case of Emergency Notify:








(Identity & employment eligibility of all new hires will be verified as required by the Immigration Reform & Control Act of 1986.)






Education



Employment History:


Job #1




Job #2




Job #3




References: Do not list relatives




PLEASE READ THIS CAREFULLY!

In submitting this application for employment, I understand that an inquiry will be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, and/or criminal history. I authorize anyone possessing this information to furnish it to Partners in Personal Assistance (PPA) and I release anyone so authorized, & PPA, from all liability and damages whatsoever in furnishing, obtaining or using said information.

In the event of employment, I understand that false or misleading information given in my application or interview (s) may result in immediate dismissal. I understand I must abide by all policies & procedures set forth by the Board of Directors.

I understand and agree that if employed, the employment will be “at will”. That is, either I or PPA may end the employment relationship at any time, for any reason, or for no reason.

Please type your full name below to acknowledge that all of the information provided is both complete and accurate.


ppa