Application Form

Declaration: By entering my name below, I certify that all the information provided in this application form is accurate and complete to the best of my knowledge. I understand that any false statements or omissions may disqualify me from employment as a caregiver.

References: I authorize the company and its agents to conduct necessary investigations into my employment and educational history. I release employers, schools, and other pares from liability when responding to inquiries related to my application. I also grant permission for the release of information by entities listed on this form. Additionally, I authorize the company to share reference information with clients evaluating my credentials.

Temporary/Contract Employment: If employed as a temporary or contract worker, I understand that I may be an employee of the company and not the client. My employment is not guaranteed for a specific duration and can be terminated at any me for any reason. A contract will exist between the company and each client, requiring the client to pay a fee if I accept direct employment. If offered direct employment by a client (including subsidiaries or affiliated companies) during or a er my assignment, I agree to promptly notify the company. This applies to permanent, temporary (including assignments through another agency), or consulting positions.