Step 1 of 5
List previous employers with most recent employer first. Include an explanation for any gaps of employment.
Attach an additional sheet, if needed.
Innovate Rehab & Wellness, or other entity as assigned, will conduct an employment check of your current or
previous employers, unless excluded in this application. The purpose is to verify the information provided on this
application or your resume, if submitted. This check may include, but is not limited to: dates of employment, job
title, job duties, rate of pay, performance, attendance, disciplinary action, and eligibility for rehire.