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I hereby affirm that all statements are accurate, complete, and true to the best of my knowledge. I understand that if I knowingly give false information, I will not be eligible for employment with this company. I authorize any person, school, current and past employer, and organizations named in this application to provide this company with any information connected with this application, and I release such persons and organizations from any legal liability in making such statements. I understand that a background check may include an internet search. In addition, I acknowledge that at any time during employment, a physical, mental, health, chemical dependency, motor vehicle record report, or criminal history evaluation may be required if there is reasonable cause to believe the qualification requirements have not been met, or that the employee cannot provide the required care for the consumer(s). Failure to comply with any of these requirements will result in immediate separation from employment with this company.

This application will be valid for 30 days from the date of submission, at which time a new application must be completed.

I understand that nothing in this application or in any prior or subsequent written or oral statement creates a contract of employment or any rights in the nature of a contract. I agree and understand that if I am hired by the company my employment will be “at will”, for an indefinite period of time, and may be terminated at any time, with or without cause or notice, at the option of the company or myself.

By typing your name below, you affirm that you have read, understand, and comply with the terms above.

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