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I hereby certify that the information given herein is to the best of my knowledge, true and accurate in every respect, and I also agree that any misrepresentation, including omission of information, is sufficient cause for severance of employment with ActiveLife Care. It is also understood that nothing in this application for employment is intended to create an employment contract with ActiveLife Care.
I understand that I am applying for a position which directly involves providing direct care or services to individuals in their home. I may be required to provide a set of fingerprint impressions and criminal records check may also be conducted.
I authorize ActiveLife Care to contact any references and to make further background screening and investigations deemed necessary in connection with my position and do hereby release ActiveLife Care and all informants from all liability resulting from such investigation.
At any time as an employee of ActiveLife Care, you are not to disclose the identity or personal information of any client, or family to anyone other than ActiveLife Care without consent. Violation of this agreement will be just cause for suspension and/or dismissal from this company.