Assured Health Services

6545 W. Central Ave. Ste. 106

Toledo, OH 43617

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Upload Resume

I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the U.S.

Yes

Have you ever been convicted of, or plea of guilty, no contest, or had a withheld judgment to a felony?

Yes

Do you have a valid driver's license and auto insurance?

Yes

Do you have a high school diploma or GED?

Yes

Do you have any points on your driving record?

Yes

Have you ever worked for this company?

Yes

Will you consent to a criminal background check (BCII/FBI) as a condition of employment?

Yes

Acknowledgement and Authorization

I certify that all answers given herein 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 an employment decision.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

I understand that upon submission of this application, a preliminary background check will be run.

Thanks for submitting!