In signing this application, I certify that I have read and fully understand the questions asked in given by me are true, accurate, and complete to the best of my knowledge. I also understand that the omission, concealment, or misrepresentation of any fact on this application or during any interview for employment may be cause for my immediate dismissal from employment.

I give Senior Home Health Care, LLC permission to use any information in this application to enable it and its agents to verify information contained in this application I also authorize present and former employers, educational instutions I have atteneded, credit agencies, all references, and any other persons to answer all questions asked by Senior Home Health Care, LLC with reguard to any of the subjects covered by this application. I also understand that in connection with my application for employment, Senior Home Health Care, LLC may conduct a criminal background investigation and that my employement may be contingent on the results of such investigation. I release Senior Home Health Care, LLC, its agents, and all affillated enties as well as any person or situation that provides any information about me, from any and all liability what investigation or the disclosure of zuch information.

In consideration of my employment and of my being considered for employment by Senior Home Health Care, LLC, I agree to abide by all rules and regulations, which I understand are subject to change at any time for any reason without prior notice. I also understand that if employed, I will be an employee at will and employted for no definite period of tiem. I understand that either Senior Home Health Care, LLC or I can terminate my employment at any time, with our without cause and with our without advance notice. I further understand that no communication, whether oral or written by any representative of Senior Home Health Care, LLC at any time, can constitute a contract of employment. No representative or agent of Senior Home Health Care, LLC has the authority to enter into any agreement for employment for any specific period of time or to make any agreement contrary to the foregoing.