Employment Opportunities – Hermes Helpers LLC

Looking for a rewarding opportunity to make a difference?

We are currently hiring direct support providers to work all shifts. Preferred candidates will have a high school diploma or G.E.D., and a valid driver’s license. If you are interested in joining our team, please fill out and submit the following application.

If you have any questions or issues with the application, please contact us at [email protected]

Employment Application

Name
First Middle Last
Phone*
Email
Address
Street Address Address Line 2 City State ZIP Code
Are you 18 years of age or older?*
- Yes
- No
If hired, can you provide proof you are eligible to work in the U.S.?
- Yes
- No
Have you ever been convicted of any law violation (except a minor traffic violation).
- Yes
- No
(A “Yes” answer does not automatically disqualify you from employment, since the nature of the offense, date, and the job for which you are applying will also be considered).
If yes, please explain:
Do you have a valid driver's license?
- Yes
- No
License No.
State
Have you had your driver’s license suspended or revoked in the last 3 years?
- Yes
- No
If yes, please explain:
I consent to Hermes Helpers obtaining my unofficial drivers abstract
Education
Name of School No. of years completed Diploma/certificate Subjects studied

List all high school, GED, college and vocational schools attended
Additional skills and training
Previous work experience
Please list the names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references.
Name of Employer
Address
Street Address City State / Province / Region
Supervisor
Job Title and Duties
Dates of Employment
Phone No.
Reason for leaving
Name of Employer
Address
Street Address City State / Province / Region
Supervisor
Job Title and Duties
Dates of Employment
Phone No.
Reason for leaving
Name of Employer
Address
Street Address City State / Province / Region
Supervisor
Job Title and Duties
Dates of Employment
Phone No.
Reason for leaving
Name of Employer
Address
Street Address City State / Province / Region
Supervisor
Job Title and Duties
Job Title and Duties
Dates of Employment
Phone No.
Reason for leaving
Are you presently employed?
- Yes
- No
If yes, may we contact your present employer?
- Yes
- No
Have you ever been fired from a job or asked to resign?
- Yes
- No
If yes, please explain
Please list at least THREE personal or professional references
Name Phone No. Relation
PLEASE READ EACH STATEMENT CAREFULLY
By checking the following box, I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I understand that the employer may request an investigative consumer report from a consumer reporting agency. This report may include information as to my character, reputation, personal characteristics and mode of living obtained from interviews with neighbors, friends, former employers, schools and others. I understand I have a right to make a written request within a reasonable time for the disclosure of the name and address of the consumer reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation. I authorize the investigation of any of all statements contained in this application and also authorize any person, school, current employer (except as previously noted), past employers and organizations named in this application to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organization from any legal liability in making such statements. I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre and/or post employment drug screen as a condition of employment, if required. I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITH NOTICE.
Consent*
I have read, understand, and consent to these statements.
Signature
Date
MM slash DD slash YYYY
Availability
Please provide the following information on your availability to work
How many hours are you willing to work per week?
What shifts/hours are you available to work?

Our typical shifts are 8AM – 4PM; 4PM-midnight; midnight-8AM
What days are you available to work?
Please check the locations you are interested in working at:
- Akron
- Medina
Who told you about Hermes Helpers?*

We do not post on Indeed. Please list the name of the person who referred you.
(Optional upload)
Drop files here or

Max. file size: 100 MB.
Please feel free to upload a resume or cover letter. This is optional and not required.

Name of School	No. of years completed	Diploma/certificate	Subjects studied

Name	Phone No.	Relation

Looking for a rewarding opportunity to make a difference?

Employment Application

Previous work experience

PLEASE READ EACH STATEMENT CAREFULLY

Availability