* = Required Information

Me and My Nanna, LLC

5878 Buford Hwy., NE, Suite 9, Atlanta, GA 30340

AN EQUAL OPPURTUNITY EMPLOYER

It is the policy of Me and My Nanna, LLC Agency to provide employment opportunities without regard to race, color, religion, sex, national origin, age, handicap, or veteran status.

APPLICATION FOR EMPLOYMENT
Yes No
Yes No
Yes No
Full-time Part-time Visits PRN
Yes No
EDUCATION

HIGHSCHOOL

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COLLEGE

Yes No

POST-COLLEGE

Yes No

OTHER TRAINING

Yes No

EMPLOYMENT HISTORY
Present or Most Recent Employer
Yes No

Yes No

Yes No

Yes No

* I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history

* I understand that employment at this company is “at will”, which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statue. All employment is continued on that basis. I understand that no supervisor, manager, or executive of this company, other than the president, has any authority to alter the foregoing.

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