Respite Care Manager Application Form Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Earliest Start Date MM DD YYYY References * Please enter names and contact information Are you applying for: Full-Time Part-Time Temporary Remote Work Please share any event planning experience you have: Please share any experience with families impacted by disability: Please briefly describe your salvation testimony of how you became a Christian: I authorize the investigation of all statements and information provided on this application, unless specifically noted otherwise. I release Quiet Waters and anyone contacted in the course of verifying the information I have supplied from all liability and damages that may result from any information provided to Quiet Waters. I certify that my answers to all questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application or during the pre-employment process my be grounds for my immediate termination. * I have read and agree to this disclaimer. I do not agree to this disclaimer. Thank you for submitting your application for the Respite Care Manager position. Someone from Quiet Waters will be in touch soon.
