H.O.P.E. application checklist

H.O.P.E. application packet CHECK LIST !

□ Resume

□ Drivers license copy

□ SSN copy

□ Car insurance copy

□ Professional license copy

□ Copy of degree/transcripts

□ CPR copy

□ TB test

□ H.O.P.E. application (3 references)

*□ W-4 form

*□ I-9 form

*□ Confidentiality agreement

*□ Equal employment opportunity

*□ Background consent

*□ Background receipt

□ Professional liability insurance (licensed

applicants only)

* Forms included in the H.O.P.E. application packet.

* Background receipt received upon completion of the finger-printing process.

Application to be returned to the office when packet is complete ONLY.