I certify that all answers and statements given herein are true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation, falsification, or material omission of information on this application may result in the rejection of my application or immediate termination if already employed.

I hereby authorize Alheri Care to contact and investigate my previous employers, professional references, educational institutions, and any other sources relevant to verifying my qualifications and fitness for employment. I release Alheri Care and all individuals or entities providing information from any and all liability or damages arising out of the retrieval or disclosure of such information.

I understand and acknowledge that, unless otherwise defined by applicable California law, any employment relationship established with Alheri Care is of an "at-will" nature. This means that I am free to resign my employment at any time, with or without cause or notice, and Alheri Care retains the identical right to terminate my employment at any time, with or without cause or notice.

As a strict requirement for working with a licensed Home Care Organization (HCO) in the State of California, I acknowledge that any conditional offer of employment is fully contingent upon my successful registration with the California Department of Social Services (CDSS) Home Care Aide registry, which mandates clearing a criminal background screening via LiveScan fingerprinting, as well as providing verification of a negative tuberculosis (TB) screening result within the required statutory guidelines.