MN PROFESSIONAL HEALTH SERVICES, INC.
810 E Franklin Ave. Mpls, MN 55404 | Tel. (612) 338-5259 | Fax (612) 338-5269
Time at this address:
Equal Opportunity Employment: Minnesota Professional Health Services, Inc accepts as an employee any qualified
person, without regard to age, gender, disability, race, religion, marital status, national origin, sexual orientation, political affiliation, veteran status, or any other status protected by law. (The full statement of MPHS’S Equal Opportunity Employment policy is available on request)
I authorize Minnesota Professional Health Services, Inc to contact any of my previous employers and any professional or academic references that I have given, and I authorize each of them to release to Minnesota Professional Health Services any information related to my position there. I also authorize Minnesota Professional Health Services to provide persons seeking Personal Care Attendants (PCA) with a copy of this application upon request, and to release information about my work history to the employers. I understand that Minnesota Professional Health Services has the right to suspend or remove me from employment as a Personal Care Attendant (PCA) at any time. I also understand that any false information provided on this application will be grounds for termination of employment.
THIS IS AN EMPLOYMENT AGREEMENT BETWEEN AND MINNESOTA PROFESSIONAL HEALTH SERVICES, INC. ("MPHS")
MPHS and Employee enter into this Agreement for the purpose of arranging for your services as a Personal Care Attendant for clients with disabilities who have chosen MPHS as a provider organization under the rules of the Minnesota Department of Human Services. A Personal Care Attendant must meet the minimum qualifications as established by MPHS.
Employee is classified as an “at-will” employee. Nothing herein is intended or shall be construed to change or replace, in any manner, the “at-will” employment relationship between the Agency and Employee. Employee or the MPHS may terminate the employment relationship at any time for any reason or no reason.
Employee agrees to provide personal care for MPHS’s clients under these conditions:
MPHS have the responsibility to operate the Personal Care Attendant program under the requirements of Minnesota Department of Human Services rules, which you can read yourself by requesting a copy. Services provided under this agreement are limited to the Personal Care Attendant Program operated under the regulations of the Minnesota Department of Human Services.