Lumina Job Application Form

Step 1 of 2
Click or drag a file to this area to upload.
Please submit file in the following format: .doc or .pdf. File must be smaller than 10 MB.
Click or drag a file to this area to upload.
Please submit file in the following format: .doc or .pdf. File must be smaller than 10 MB.

EMPLOYMENT HISTORY

MM/DD/YYYY
MM/DD/YYYY or Present

EDUCATION

Select the highest level of education you have completed that is relevant for the position you are applying for.
YYYY or Present

NOTIFICATION

NOTICE Any false, fraudulent, or misleading oral or written statement contained in your application and attached materials or made in the course of any related employment process, whether made by me or by others at my request, will result in rejection of my application, denial of employment, dismissal if discovered after employment, and/or prosecution for a crime. I authorize Lumina Hospice to verify information and to conduct reference checks.

I certify and affirm that I have read and understood the above notice. I further certify that I personally completed my application and attached materials or requested its completion and that all statements contained herein are true and complete to the best of my knowledge.

I agree to provide my DMV record if requested and to submit to a background check conducted at Lumina Hospice expense. If offered employment, I further understand that the offer is contingent upon a favorable DMV report and a satisfactory outcome of the background check.

Lumina Hospice and Palliative offers employment to all persons without regard to race, religion, color, sex, age, national origin, disability, sexual orientation, veteran status, or any other classification protected by law.