Authorization for Background Check
I understand that Home Care Assistance of San Antonio is making no employment offer at this time. I certify that the information in this application is correct to the best of my knowledge. I understand that any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews is grounds for disqualification from further consideration for employment or for termination, if employed.
I authorize Home Care Assistance of San Antonio to contact any company, institution, or individual it deems appropriate to investigate my employment history, character, qualifications, credit history, driving record, and other relevant information, if job-related. I give my full consent for all contacted individuals, including former employers, to provide information concerning this application, and I waive my right to bring any cause of action against these individuals for any and all liability for damages arising from furnishing the requested information to Home Care Assistance of San Antonio. I acknowledge that a facsimile and/or photocopy of this form is as valid as the original.
Pre-employment testing may be required (drug testing, background checks, physical examinations, motor vehicle checks).Testing may be applicant or employer paid based on the employer.I understand that any offer of employment may be withdrawn if drug tests are positive and/or if a condition is discovered for which no reasonable accommodation can be made.
I understand that this application is current for 90 days. At the conclusion of this time, if I have not heard from Home Care Assistance of San Antonio and still wish to be considered for employment, it will be necessary to complete a new application.
Addresses for the Past Seven Years: