Employment Application

(Please read the following statements carefully). I understand and agree that prior to any job offer, I will be given a written description of that job and will be asked about my ability to perform specific job functions or duties involved in that job. I certify that all information on this application and any other material provided by me are true and complete. I agree that falsified information, misrepresentation, or omissions in this application, or any accompanying resume or other materials will disqualify me from consideration for employment with the Home Care Services of MA, LLC and will be considered justification for dismissal whenever discovered. Unless otherwise noted, I authorize Home Care Services of MA, LLC or its agents to investigate and/or verify all information in this application, including contacting persons, schools, current employer (if applicable), previous employers, and other individuals or entities named herein (and those named on accompanying resume, if any.) I hereby authorize my former employer and other third parties named on this application to release information pertaining to my work record, habits, and performances. In doing so, I hereby release them and Home Care Services of MA, LLC and its agents 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 any time and that Home Care Services of MA, LLC will similarly enjoy the right to terminate my employment, at any time, with or without cause. This status can only be modified by a written document setting forth such modification, signed by both me and an authorized representative of Home Care Services of MA, LLC. I further acknowledge that I am expected to abide by all Company rules, regulations, and policies, written or unwritten, but that such rules, regulations, and policies do not create a contract between me and the Company or otherwise restrict the right of either party to terminate the employment relationship.

All applicants are required to complete the following even if you are not a C.N.A. A register check is done on all applicants.