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Clear Signature
I allow my perspective employer Home Care Alternatives to verify information given to him or her on my application for employment and do hereby release Home Care Alternatives, State Police, and their assigns or successors from any liability of claims and authorize the State Police to release to Home Care Alternatives my conviction criminal history information.
Home Care Alternatives agrees to use the information from the Department of State Police to verify information of your employment application, the statements you have made in regards to your employment, and for any determination into your good moral character.
I am aware that federal law provides for imprisonment and/or fines for false statements of use of false documents in connection with the completion of this form.
Clear Signature
I confirm that the facts set forth in my application and submitted resume are true and complete to the best of my knowledge, that I shall ensure that such facts remain true and accurate for the duration of my employment with Home Care Alternatives.

Equal Opportunity Employer Statement

Home Care Alternatives is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Home Care Alternatives makes hiring decisions based solely on qualifications, merit, and business needs at the time.