APPLICANT'S STATEMENT AND AGREEMENT
Please read the following statements carefully before signing.
I certify that the answers given by me to the foregoing questions and statements are true and correct without omissions. I agree that Gentle Transitions shall not be liable if my employment is terminated because of any misrepresentation, falsification of statements, answers or omissions, made by me on this application, any accompanying resume or supplementary materials and can be cause for refusal to hire or for immediate dismissal from employment at any time during the period of my employment.
Permission is hereby granted to obtain verification of the statements made herein and to obtain references as approved by me. I authorize the references listed herein and approved by me, to release any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing and utilization of such information.
As a condition of employment, I agree that all information which I receive or have access to, as a result of my employment, which relates in any manner to the business activities, programs, concepts, designs or processes of Gentle Transitions are to be treated by me as restrictive and trade secret information and are to be kept in confidence, and are not to be disclosed to any unauthorized person, firm or enterprise during or after my employment, or used by me in any manner outside the scope of my employment without limitation.
I understand that Gentle Transitions may investigate my driving record as it relates to the specific job for which I am applying. Furthermore, I understand that I may be required to pass both a drug test and a criminal background check in order for any offer of employment to be valid.
I understand that completion of this application does not assure me of a position with Gentle Transitions. My employment and compensation is for no definite period of time and is terminable at-will, which means that either Gentle Transitions or I may terminate the employment relationship at any time, for any reason whatsoever, with or without good cause at the option of either Gentle Transitions or myself. This is the entire agreement between Gentle Transitions and me concerning the term of employment, and supersedes any prior
agreements that may have been made. The agreement may not be modified except by a written document signed by the President of Gentle Transitions.
If you have any questions regarding this statement page, please ask Human Resources before signing.
