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BY SELECTING I AGREE, I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false or incomplete in any way, it shall be considered sufficient cause for denial of vemployment or discharge.

I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questionsvasked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information.

I understand nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the company and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand no such promise or guarantee is binding upon the company unless made in writing. If an employment relationship is established, I understand I have the right to terminate my employment at any time and the company retains the same right. If I am offered employment, I understand I will be required to submit to all pre-employment checks as dictated by state Assisted Living regulations.

These include reference checks, tuberculosis screenings, and a criminal background check. I further understand I may be required to submit to a pre-employment drug test and future drug testing consistent with company policy and procedures. I understand that if employed, policies and rules which are issued are not conditions of employment and that the employer may revise policies or procedures, in whole or in part, at any time. I have read and agree to all provisions as stated.