By typing your name into this text box, you agree that this is equivalent to an electronic signature. Your electronic signature is the legal equivalent of your manual/handwritten signature on this Bridges Hospice, Inc., and/or Home Care Services Inc. Employment Application. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature.

By submitting this form, I certify that the information on this application is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Bridges Hospice, Inc. to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquires in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and/or credit background investigation, and/or illegal substances upon conditional offer of employment. I understand that this online form is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand d that staff employees of Bridges Hospice, Inc. serves at-will, and the employment relationship may be terminated at any time by either party, for any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, and to comply with company and departmental regulations. I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice. I understand that the first NINETY DAYS of regular employment represent a provisional period, during which I would not be eligible to apply for transfer or promotion and during which I may be terminated without right of appeal.


Bridges Hospice is an equal opportunity employer and does not discriminate on the basis of race, color, age, ethnicity, religion, national origin, pregnancy, sexual orientation, gender identity, genetic information, sex, marital status, disability or as a US Veteran.