Clermont Senior Serices, Inc.

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HIPAA MS Word Document

Current Job Openings

To apply for Employment with our agency please complete all TEN steps below.  If we do not receive all four documents fully completed it will delay your eligibility for employment.

1. Click on this Application Form link.

2. Print it out.

3. Click on this Background Release From link.

4. Print it out.

5. Click on this Workers Comp From link.

6. Print it out.

7. Click on this Affirmative Action Information From link.

8. Print it out.

9. Fill out each form completely leaving no section blank unless it does not apply.

10. Then either bring them into our office in person or fax them to 513-536-4019, Attention: Penny Balzhiser.

Our main funders:           

Send mail to gshivener@clermontseniors.com with questions or comments about this web site.
Copyright © 2003 Clermont Senior Services, Inc.
Last modified: 06/09/08