I certify that, to the best of my knowledge, the answers given are true and complete and that purposeful misrepresentation may result in rejection of my application.  I authorize investigation of all statements contained in this application, as required.  Additionally, I authorize former employers, references and any other individual/organizations to provide information to DeVinely Dee’s Home Care Services LLC and I hereby release and discharge any of the above and DeVinely Dee’s Home Care Services LLC from any liability of any kind or nature.   I also understand that it is my responsibility to keep such information current and accurate by updating it as often as necessary

I agree to a physical examination, if requested, and understand that failure to meet any medical and/or health requirements for the position may prevent my employment with the Agency.  I also understand that employment, for certain positions, may be conditional upon successful completion of a substance abuse screening test and a criminal background check

If further understand that, if hired, I may be required to provide proof that I am a citizen of the United States or proof that I am currently authorized to work in the United States.