Please format as: Company Name, Employment Start Date - Employment End Date, Position
Ex. Harmony at Home, 1/2/25 - 6/10/26, Caregiver
By checking this box and submitting this form, you agree to our Terms and Conditions and Privacy Policy. You consent to receive informational and transactional emails, SMS text messages, and calls from Harmony at Home Senior Care regarding your inquiry, requested services, scheduling, and appointment reminders. Communications may use an automated dialing system, prerecorded or artificial voice, and/or an AI-enabled voice agent. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out of text messages or HELP for assistance. You may withdraw your consent at any time.
I understand and agree that: Any material misrepresentation or deliberate omission of a fact in my application may result in refusal of or, if employed, immediate termination from employment. Although management makes every effort to accommodate individual preference, business needs may at times make the following conditions mandatory: overtime, shift work, or a rotating work schedule. I understand and accept these as conditions of my continuing employment. It is my understanding that Harmony At Home Senior Care, LLC, will make a thorough investigation of my entire work history and may verify all data given in my application for employment, related papers, or oral interviews. I authorize such investigation and the giving and receiving of any information requested by Harmony At Home Senior Care, LLC, and I release from liability any person giving or receiving such information.
I agree that my employment is at will and may be terminated by Harmony At Home Senior Care, LLC, or me at any time with or without notice or cause and without liability for wages or salary except such as may have been earned at the date of such termination, and that my employment is considered part-time and temporary, regardless of any assignment given to me by the agency. I further understand this is an application for employment and that no employment contract is being offered, nor will any result from my employment with Harmony At Home Senior Care, LLC. I understand that if I am employed, such employment is for no definite period of time and that Harmony At Home Senior Care, LLC can change wages, benefits, and conditions at any time.
I understand that Harmony At Home Senior Care, LLC will perform background and employability checks through the Texas Nurse Aid Registry, SEMARC, National Sex Offender Registry and a criminal background check. I understand that I may not be hired if I have any criminal conviction or am listed in the aforementioned.
I acknowledge that any oral representation or written statements that may have been made to me to the contrary of this paragraph are expressly disavowed and may not be relied upon.