Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which include race, color, religion, gender, national origin, disabilities, or other protected status. Any or all, of these employers may be contacted to verify employment information.
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Criminal Record Check
A CRIMINAL HISTORY CHECK IS MANDATORY FOR ALL APPLICANTS
and requires maiden name, aliases, and date of birth information.
I certify that answers given herein are true and complete.
I authorize investigation of all statements contained in this application for
employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time
not to exceed 45 days. Any applicant wishing to be considered for employment
beyond this time period should inquire as to whether or not applications are
being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable
law, any employment relationship with this organization is of an "at will" nature,
which means that the Employee may resign at any time and the Employer may discharge the
Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless
such change is specifically acknowledged in writing by an authorized executive of this
In the event of employment, I understand that false or misleading information given in my
application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
I hereby consent that all outstanding debts owed to Comfort Care & Resources may be deducted
from any paycheck, including paychecks received after termination of employment.
Signature of Applicant *