It is understood and agreed that my employment with San Antonio In Home Health Care is predicated upon the accuracy and truthfulness of statements in this application, as well as, any supplement documentation submitted to San Antonio In Home Health Care. I hereby authorized and request any and all former employers and others to furnish a complete history of my services with them, together with any information they may have concerning my personal character, habits, ability, disposition, education, qualification etc. and particularly a statement of the cause of the termination of my employment.
I also authorize the party employing me as a result of this application to furnish the information contained herein together with information concerning my employment with such party, to any other person or firm having interest and right to know such information. I hereby release the above parties from any and all liability for damages of whatsoever nature on account of receiving, furnishing, or acting upon the requested information.
This is to inform you that as part of our procedure for processing your application an investigative report may be made whereby information is obtained through personal interviews with third parties, such as family members, business associates, financial resources, friends, neighbors, or other whom you've acquainted. This inquiry includes information as to your character, general reputation, personal characteristics and mode of living; whichever may be applicable. You have the right to mail a written request within a reasonable period for a complete and accurate disclosure of additional information concerning the nature and scope of this investigation.