Home Health Aide Application

I certify that the information contained in this application and in any resume provided by me or any party representing my interests is correct and complete to the best of my knowledge. I understand that any false statements, misinterpretations, or omissions mode by me on this application or any supplement to it, will be sufficient grounds for rejection of this application or discharge after employment.

I grant VICTORIOUS HOME HFALTH CARE LTD the right to obtain pertinent information concerning me from former employers, educational institutions, and others, and I release all those providing or requesting such information from any liability that may arise by truthful disclosures or such investigations.

lf I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the Company reserves the some right to terminate my employment at any time with or without cause and without prior notice, except as may be required by law, This application does not constitute on agreement or contract for employment for any specified period or definite duration. I understand thot no representative of the Compony, other than an authorized officer, hos the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by on authorized officer.

I understand it is the Company's policy not to refuse to hire o qualified individual with a disability because of thot person's need for a reasonable accommodation as required by the Americans with Disabilities Act.

I also understand that if I om hired, I will be required to provide proof of identity ond legal work authorization.

Your signature acknowledges you hove read ond agree to the above.