Application for Employment

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, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. the employer may contact any listed references on the application. I acknowledge and understand that the company is an"at will"employer. therefore, any employee (regular, temporary, or oher type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.

In connection with my employment application with Caring Hands Services, I understand that consumer reports which may contain public record information may be requested. These reports may include the following types of information: names and dates of previous employers, public records, credit data, bankruptcy proceedings, eviction and criminal records, etc., from federal, state and other agencies which maintain such records.

I hereby authorize procurement of consumer and background report(s). I understand that if hired, this authorization shall remain on file and serve as an ongoing authorization for to procure consumer and background reports at any time during my employment.