APPLICANT NOTE: This application is used to evaluate qualifications for employment with Philadelphia Family Home Care. It is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading information may result in disqualification or termination of employment. Qualified applicants will receive consideration without regard to any status protected by applicable law. Pre-employment screening may be required as permitted by law.

If a conditional offer of employment is made, additional screening or documentation may be required based on the position and applicable law, regulation, payer, or program requirements. Separate authorization forms should be used for any consumer report, criminal background check, motor vehicle record check, or drug testing.