Agreement & Authorization
I hereby authorize Independence Home Care, Inc. to request and receive from all prior employers within one year of the date of this application, any and all pertinent information to my prior employment and its termination, including the reasons for such terminations. I authorize the company and/or its agents, including consumer reporting bureaus, to verify any of this information including, but not limited to, criminal history and motor vehicle driving records, and all schooling and references. I agree to indemnify and hold harmless Independence Home Care, Inc. and any of its agents or employees from all liability which may flow from the release of such information.
I understand that if I am hired my employment will be on an at-will basis, for no definite term. As such, I understand that I will enjoy the right to terminate my employment at anytime subject to providing two weeks written notice. Independence Home Care, Inc. may also terminate my employment at any time with or without cause. I further acknowledge that if offered employment I will be expected to learn and abide by all Company rules, policies, and procedures. I also understand that the use of illegal drugs is strictly prohibited while employed by Independence Home Care, Inc. and I am willing to submit to random drug testing to detect the use of illegal drugs prior to and during employment. Nothing contained in this employment application or in the granting of an interview is intended or designed to constitute an offer of employment or an employment contract between myself and Independence Home Care, Inc.
I hereby state that all of the foregoing information I have supplied in this application is a true and a complete statement of the facts. I understand that false statements contained in this application are immediate cause for dismissal.