Employment Application

I certify that, to the best of my knowledge, the answers given are true and complete and that purposeful misrepresentation may result in rejection of my application. I authorize investigation of all statements contained in this application, as required.

Additionally, I authorize former employers, references, and any other individual/organizations to provide information to Perfect Choice Senior Care Agency and I hereby release and discharge any of the above and Perfect Choice Senior Care from any liability of any kind or nature.

I agree to a physical examination, if requested, and understand that employment may be conditional upon successful completion of a substance abuse screening test and a criminal background check.