By agreeing to our terms, I certify that all of the information contained in this application is true and complete. I understand that any misrepresentations or false information that I provide, either in this employment application or at any other time during the application and hiring process, may result in the disqualification of my application for employment or, if I am hired, in the immediate termination of employment at any point in the future.

I understand and agree that this employment application does not guarantee employment on any terms.

I understand that Home Care with Grace, LLC. may seek to verify any or all information listed above or otherwise provided by me during the application and hiring process. I hereby expressly authorize Home Care with Grace, LLC to verify that information, without further notice to or consent by me, and I authorize prior employers and others from whom such verification is sought to release relevant information about me. I further authorize Home Care with Grace, LLC. to investigate all references and secure additional information about me.

I hereby release from liability Home Care with Grace, LLCand its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

Home Care with Grace, LLC is an Equal Opportunity Employer. Home Care with Grace, LLC does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state or federal law.