APPLICANT NOTES AND INSTRUCTIONS:
This application is intended for use in evaluating your qualifications for paid service. This is not an employment contract. Please answer all questions completely and accurately. False or misleading statements on this form or during the interview process are grounds for terminating the application process or, if discovered after service begins, terminating service. We are an equal opportunity employer.
All qualified applicants will receive consideration, and will be treated throughout their paid service, without regard to race, color, religion, gender, national origin, age, disability, marital status, AIDS/HIV status, genetic information, sexual orientation, gender identity, or any other protected class status under applicable law.
Additional testing for the presence of illegal drugs in your body may be required prior to paid service.
If you need assistance completing this application or for any phase of the application process, please notify Champions of Aging staff, and every reasonable effort will be made to meet your needs in a reasonable amount of time.
CERTIFICATION AND RELEASE:
I certify that I have read and understand the applicant notes and instructions outlined at the beginning of this application and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts in this application may result in rejection of my application or discharge at any time during my service. I authorize the company and/or its agents, including consumer-reporting bureaus, to verify any of this information including, but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also release Champions of Aging from any liability which might result from making such investigation. I also understand that the use of illegal drugs is prohibited during service. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during service.
I UNDERSTAND THAT THIS APPLICATION IS NOT A CONTRACT OF PAID SERVICE. I ALSO UNDERSTAND THAT IF HIRED, REGARDLESS OF ANY ORAL REPRESENTATIONS TO THE CONTRARY, THE SERVICE RELATIONSHIP BETWEEN MYSELF AND CHAMPIONS OF AGING IS TERMINABLE AT WILL, SO THAT BOTH THE ORGANIZATION AND I REMAIN FREE TO CHOOSE TO END OUR WORK RELATIONSHIP AT ANY TIME FOR ANY OR NO REASON. ANY CHANGES IN THIS SERVICE RELATIONSHIP MUST BE MADE IN WRITING.
By clicking the Apply button I acknowledge that I have read and understand the CERTIFICATION AND RELEASE.