Employment Opportunities

1. Employer Information

It is the policy of QCCG/QCAG, LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

2. Applicant Information

3. Emergency Contact

Who should be contacted if you are involved in an emergency?

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.

15. Applicant's Skills:

Check those skills that you have. List any other skills that may be useful for the job you are seeking. Enter the number of years of experience on the line.

16. Applicant Employment History:

List your current or most recent employment first.

17. Applicant's Education and Training:

18. References:

List any two people who would be willing to provide a reference for you.

CERTIFICATION: I certify that the information provided on this Application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my Application, or if employment commences, immediate termination.

I authorize QCCG/QCAG, LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by the company president, the employment relationship will be entirely voluntary in nature. In other words, with appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer would have the same right. Moreover, no agent, representative, or employee of QCCG/QCAG, LLC, except in a specific written contract of employment signed on behalf of the organization by the company President has the power to alter or vary the voluntary nature of the employment relationship.