2023 Employment Form Test

Employment Application

"*" indicates required fields

Epic Enterprise is an equal employment opportunity employer and will not discriminate against any applicant or employee on any grounds protected under federal, state, or local law, including: race, color, creed, religion, age, sex, national origin, ancestry, marital status, handicap, disability related to pregnancy or childbirth, affectional or sexual preference, membership or activity in any local commission; or status regarding public assistance, membership or non-membership in any labor organization, or information regarding any protected characteristics, nor imply any limitation, preference, or discrimination based on protected characteristics.

Mailing Address*
If hired, can you furnish proof you are 21 years of age or older?*
If hired, can you furnish proof you are eligible to work in the U.S.?*
If the position you are applying for requires essential driving duties, do you have a valid driver's license?*
Have you ever been employed here before?*

Job Requirements

All Epic employees are required to undergo a criminal background study because of our service to vulnerable adults. These background study requirements are found in Minnesota Statutes, Chapter 245C, section 241.021, section 144.057, and section 256B.0943. The results of the background study may disqualify a person from employment (at the time of hire or anytime during employment).

Are you able to fulfill the job requirements with or without accommodation, including not being convicted of any disqualifying crimes which prohibit direct care services to vulnerable adults?*


Include high school and/or institution issuing GED and any additional education/courses taken. Do not list dates of attendance for high school.


Employment, Volunteer and Military Experience

Please list all work, volunteer and military experiences (including self-employment, if any), starting with most recent or current experience.

May we contact this employer?
May we contact this employer?


List two people who can be contacted regarding your qualifications, work habits, and character.


I promise the information provided in this application (and in any related documentation or interview) is true and complete, and I understand that any false or misleading information or significant omissions may disqualify me from further consideration for employment, and may lead to my dismissal from employment, if discovered at a later date.

I authorize any person, school, current or prior employer named in this form (or related documentation or interview) to provide Epic Enterprise with any information and opinion requested by Epic Enterprise in connection with my application, and I release such persons, employers and schools from any liability in making such statements.

I understand that this application does not create a contract of employment. I understand that, if hired, I am obliged to comply with any and all current and subsequently adopted Epic Enterprise, Inc. policies, and that Epic Enterprise, Inc. does not offer contracts, premises or representations related to employment. I understand and agree that, if hired, my employment is 'at will' and for no definite period of time, and may, regardless of the date of payment of wages or salary, be terminated at any time and for any lawful reason.

I acknowledge that I've read and accept the previous disclaimers
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