I understand that the information on this employment application has been requested for the purpose of evaluating my qualification regarding the requirements of the specified position.

I understand and expressly agree that the SunCity In-Home Care may make or employ an agency to make such pre-employment investigation of my competence, character, general reputation, personal characteristics, and mode of living as it may choose and that information concerning such matters may be obtained through contacts that attributes referred to. I expressly consent to and acquiesce in such investigation. I also understand and have been informed that I have the right to make a written request within a reasonable period for a complete and accurate disclosure of the nature and scope of the investigation mode.

Should I desire to leave the employ of the SunCity In-Home Care, I promise to deliver my resignation to my supervisor two weeks prior to the date it is to go into effect. I understand and agree that at no time, whether I am an employee of the SunCity In-Home Care, or not, will any information regarding clients of the Organization be revealed to anyone other than those authorized to receive it. I understand that the giving of information concerning a client to those not authorized to receive such information is unlawful and shall be sufficient cause for my immediate dismissal.

I certify that all information given on this form is true to the best of my knowledge, information and belief and I understand that I will be subject to dismissal if I have made any misrepresentation herein. I also give my consent to any pre-employment examination required by the SunCity In-Home Care.