APPLICATION MUST BE FILLED OUT IN ITS ENTIRETY TO BE CONSIDERED…
I certify-
• That the statements made by me on this application are true and complete to the best of my knowledge and are made in good faith. I understand that if knowingly make any misstatements of fact, I am subject to disqualification, dismissal, or other action pursuant to employment agency policy and procedure, and subject to criminal penalties as prescribed by law.
• I understand that this is not a legally binding contract and does not guarantee employment with From The Heart Home Care, LLC.
• That, to the best of my knowledge, the answers given are true and complete and that purposeful misrepresentation may result in rejection of my application. I authorize investigation of all statements contained in this application, as required. Additionally, I authorize former employers, references and any other individual/organizations to provide information to From The Heart Home Care, LLC and I hereby release and discharge any of the above From The Heart Home Care, LLC from any liability of any kind or nature.
• That it is my responsibility to keep such information current and accurate by updating it as often as necessary.
• The agency shall make the form and comprehensive background check available for inspection by agent of the Department of Consumer Protection during reasonable times.
• I agree to a physical examination, if requested, and understand that failure to meet any medical and/or health requirements for the position may prevent my employment with the Agency. I also understand that employment, for certain positions, may be conditional upon successful completion of a substance abuse screening test, if part of the Agency’s pre-employment policy.
• I understand that, if hired, I may be required to provide proof that I am a citizen of the United States or proof that I am currently authorized to work in the United States
