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I hereby authorize Loving Hearts HomeCare, and also authorize and request each former employer and person, firm or corporation given as a reference to answer all questions that may be asked and give all information that may be sought in connection with this application specifically concerning my work, skill or my professional action in any transaction. My employment with Loving Hearts HomeCare will not begin until such references are received. I agree, in consideration of your employing me that I will not seek or accept employment from any client of Loving Hearts HomeCare without first obtaining permission from Loving Hearts HomeCare and I agree to remain on Loving Hearts HomeCare payroll for an additional 350 hours or the terms agreed upon by all parties. I understand that if I am in violation of this agreement, I am subject t legal action and monetary damages. I understand that this employment application is not a contract and that if hired, my employment with Loving Hearts HomeCare can be terminated with or without cause, and with or without notice, at any time, at the option of Loving Hearts HomeCare. I also understand that any and all benefits received pursuant employment with Loving Hearts HomeCare may be changed or eliminated at will without prior notice. I consent to having a background check on my history, including a social security number verification, and I understand that my employment might hinge on this check, including termination if after I am hired. Loving Hearts HomeCare acquires information that precluded my hire. I understand that all applicants are required to undergo screening for the presence of illegal drugs or alcohol as a condition of employment at Loving Hearts HomeCare. I will be required to voluntarily submit to a urinalysis test at a laboratory chosen by the company, and by signing this consent agreement I release Loving Hearts HomeCare from liability. I understand that with positive test results I will be denied employment at this time, but I may initiate another inquiry with Loving Hearts HomeCare after 6 months. Loving Hearts HomeCare will not discriminate against applicants for employment because of past abuse of alcohol/drugs. Neither will Loving Hearts HomeCare tolerate the current abuse of alcohol/drugs. I may also be asked to voluntarily submit a urinalysis test for Cause/Post Incident Screening, Post Accident Screening and at the request of any client prior to starting an assignment. I authorize Loving Hearts HomeCare to copy and forward my personal file contents to any and all agencies which require this of Loving Hearts HomeCare. I hereby certify that all of the above information is true and correct. I understand that any misrepresentation or false information given on this application will result in rejection or termination of employment.