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To the Applicant:

Thank you for your interest in Empowerment Healthcare. We will review your application and contact you if we determine that your qualifications are appropriate for positions we may have available. After completing the entire application process, your application and/or credentials are kept on file for one year. Empowerment Healthcare is an equal opportunity employer.

Please feel free to submit a resume, if you have one, along with this application. However, if you do, please fill in the application completely in addition to your resume. PLEASE DO NOT FAX APPLICATIONS.

PLEASE NOTE: As part of the application process with Empowerment Healthcare you may be asked to complete a number of tasks, including but not limited to: the application, the Pre-Employment Ability Test, the Life Experience Questionnaire, and a short interview. The process usually takes at least 2 hours. Additional interviews or testing may follow the application process. Although the application process can seem long and tedious, it is reflective of certain aspects of the job. A primary aspect of the job involves the ability to interact positively with people who have disabilities. However, there is also a need to do detailed paperwork. Therefore, the patience required to complete the interview process indicates to us this facet of your potential to do the job. Thank you for your time and your cooperation.

I have read the above process, and agree to complete this application with accurate information to the best of my knowledge. I understand that if any of the information on the application is subsequently shown to be false or misleading, my employment with EMPOWERMENT HEALTHCARE may be terminated.

Signature: (please type in your name - this will act as your signature)
Today's Date: June 17, 2025

Please note that any field with an * on the application form is required.