Employment Application
Phone: (248) 395-3777, Fax: (248) 395-3370, www.hchs.com28000 Woodward Ave., Ste 100., Royal Oak, MI 48067

Your Contact Information

Are you 18 years or older? *


What type of employment are you looking for? *

Are you able to perform the essential job functions associated with the job for which you have applied without accommodation for a protected disability or religious practice?

Note: Timeliness and good attendance are essential functions for all jobs. *
Is there an accommodation that would permit you to perform the function? *
Are you legally authorized to work in the U.S for any employer?

Note: Proof of identity and eligibility will be required upon employment *
Are you currently employed? *
May we contact you current employer? *
Have you previously applied at HealthCall? *
Have you ever worked at HealthCall? *
Do you have any relatives employed at HealthCall? *
How did you hear about this employment opportunity? *
Are you currently under a legal agreement such as a non-compete agreement or a settlement agreement, which might prevent you from working at HealthCall or from rendering services to specific HealthCall clients? *
Secured by Formsite