Apply Online – Reference Letter Document Full

Employment Reference Request

  • Thank you for applying at The Visiting Nurse Association & Hospice of the Southwest Region (VNAHSR) and providing us with a mandatory list of contact information for your 3 employment references. Please note that according to Vermont law, if in good faith you provide accurate, factual information, you are immune from liability.
  • Three references are required prior to employment.

  • 1st Reference

  • 2nd Reference

  • 3rd Reference

  • Authorization to Release Information

  • I hereby give the VNA & Hospice of the Southwest Region permission to request information regarding my skills, work habits, attendance and any other pertinent information. It is my understanding that the information gained will be used in assessing my capabilities and potential success at the VNA & Hospice of the Southwest Region. Your response will be kept in a confidential file.
  • This field is for validation purposes and should be left unchanged.