Acknowledgement and Authorization* I agree to the following.
I understand that by entering my information, I will be receiving a call and emails from a staff member of Triad Home Health Services.
I certify that the information contained in this application is true and complete. I attest to the fact that the answers given by me are correct to the best of my knowledge and ability.
I certify that I have not knowingly withheld any information that might affect my chances of hiring.
I consent to a pre-employment criminal record check and consent to a closed records check.
I hereby authorize all schools which I attended and all previous employers to furnish the company with my records, the reason for leaving and other information regarding my affiliation. I release them from any and all liability which may result from furnishing such information. I also authorize investigation of all statements made in this application.
I understand that in the event of my employment, I shall be subject to dismissal if any of the information I have given on this application is false or I fail to give any material herein requested. Further, I understand and agree my employment is for no definite period and may, regardless of the date of payment of my wages or salary, be terminated by my employer without previous notice.
This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.
I understand that any false information or omission (including any misstatement) on this application or on any document used to secure this employment can be grounds for rejection of my application or, if I am employed by Triad Home Health Services, can be grounds for my immediate termination from Triad Home Health Services.
I authorize Triad Home Health Services to check and verify any and all information listed above, including but not limited to my references, record of employment, education record, and any other information I have provided.
Unless otherwise noted, I authorize the references listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure.
I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such examination or revelation.
I understand that this application is not a contract, offer or promise of employment and that if hired, I will be an at-will employee. As such, I will be able to resign at any time for any reason.
Likewise, Triad Home Health Services can terminate my employment at any time with or without cause, unless otherwise required by law. I further understand that no one other than Triad Home Health Services and has the authority to enter into an employment contract or agreement with me and that my at-will employment can be changed only by a written agreement.