PFDS Waiver

Embry Care is dedicated to providing high quality, comprehensive home health and personal care services to our valued patients in our community.

Embry Care is committed to providing client-centered and home health services to our clients to assist them to lead dignified and independent lives in the comfort and safety of their own homes.

As a potential new associate of Embry Care, if accepted for employment, I will adhere to the principles of the Mission and Values Statement. I pledge to do my best to anticipate the needs of all patients, and will ensure that the best patient experience, with all of our patients, every time. I will also commit to act with integrity in all that I do and treating our patients and other staff members with dignity, respect and compassion.

• I certify that the information contained in this application is true and accurate to the best of my knowledge. I understand that any misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination of employment if discovered at a later date. I agree that Embry  Care, Inc. shall not be liable if my employment is terminated because of falsity of statements, answers or omissions made by me in this application.
• I understand that all offers of employment are contingent upon successful completion of a Pennsylvania Criminal Background Check, an FBI Background Check, PA Department of Public Welfare (DPW) Child Abuse Clearance and reference checks. I absolve Embry Care of any liability in releasing any information regarding past employment. I also waive Embry Care of any liability and waive all rights to see or review comments that are furnished to Embry Care.
• I authorize the investigation of any or all statements contained in this employment application. I also authorize whether listed or not, any person, school, current or past employers, and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I also release from liability Embry Care and its’ representatives for requesting, receiving and using such information to make employment decisions and all other persons and organizations for providing such information.
• I understand I will/may be required to have my physician supply a pre-employment physical examination including the ability to perform the essential functions of the job. I understand that medical screenings may be required as part of my position.
• If employed, I agree to inform a Human Resources representative of any reasonable accommodation(s) required to perform the essential functions of my job.
• I understand that, if hired, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement, contract or offer for employment. Accordingly, either I or Embry Care can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.
• I also understand that, if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within 3 days of starting work as required under the Immigration Reform and Control Act. Failure to submit such proof within the required time shall result in a delayed start date and/or immediate termination of employment.
• I understand that, if hired, I will abide by all rules, regulations, policies and procedures of Embry Care. I also agree to immediately update Embry Care should my contact information (e.g. name, address, phone number, etc.) change as this is required for payroll, benefits, job-related and other purposes.

I have read, fully understand the foregoing and seek employment under these conditions.