Please initial the following:

1. Consent to Conduct Background Investigation.
As a condition of and in consideration for Prosperity Care Services, LLC's consideration of this application, I give permission to Prosperity Care Services, LLC to investigate my personal and employment history. I understand that this background investigation will include, but not limited to, verification of all information on this application, interviews with past employers, and submitting my name to the State of Ohio Nursing Aide Registry. I give permission to Prosperity Care Services, LLC to conduct this investigation, and to discuss the results of this investigation in connection with my application of employment.
2. Consent to Contact Past Employers
I give permission to Prosperity Care Services, LLC to contact all employers listed on this application for references. I give permission to all current or previous employers and/or managers or supervisors to discuss my relevant personal and employment history with Prosperity Care Services, LLC consent to the release of such information orally or in writing, and hereby release them from all liability and agree not to sue them for defamation or other claims based upon any statements they make to any representative of Prosperity Care Services, LLC. I waive all rights I may have under state law to receive a copy of any written statement provided
by any of my former employers to Prosperity Care Services, LLC. I agree to indemnify all past employers for any liability they may incur because of their reliance upon this release.
3. Consent to Contact Government Agencies
I give permission to any agent, attorney or representative of Prosperity Care Services, LLC to receive a copy of any information obtained in the file of any federal, state, or local court, governmental agency, law enforcement agency or investigator concerning or relating to me. I further consent to the release of such information and waive any right under state law concerning notification of the request for a release of such information. In the event a state law does not provide for prospective employers to have access to information, I hereby delegate
Prosperity Care Services, LLC as my agent for receipt of information. I understand that the scope of this investigation will be limited to criminal and/or civil records that relate to my honesty, integrity and/or abilities.
4. Cooperation with Investigation

 

 

If I am employed, I agree that in consideration for my employment, I will conform to the policies and procedures of Prosperity Care Services, LLC. I understand that those policies and procedures may be altered, amended or repealed by Prosperity Care Services, LLC at any time, at their sole option and without any prior notice to employees.
I acknowledge that if I am employed, my employment is at will - meaning that it is for no definite period of time and can be terminated by me or the Company, with or without cause or notice, at any time. I also acknowledge that my compensation can be changed at any time, with or without cause or notice, at the option of Prosperity Care Services, LLC. I understand that no representative of Prosperity Care Services, LLC has any authority to enter into any agreement for employment for any specified period of time, to assure any benefits or terms and conditions of employment, or to make any agreement contrary to the foregoing, except an Administrator of Prosperity Care Services, LLC, who may only do so in writing.
I understand that this Application is current for 60 days only. At the conclusion of this time, if have not been hired by the Company and want to be considered for employment, I will have to complete a new application. I certify that the facts contained in this Application are true and complete to the best of my knowledge and I understand that, if I am employed, any statements I have falsified on this Application shall be grounds for immediate dismissal. I also understand that, if employed by the Prosperity Care Services, LLC, I am required to abide by all Prosperity Care Services, LLC rules and regulations.

 

 

I attest that I have the following availability to work. I understand that this availability will be used to determine a schedule for me if I am to be hired. I also understand I cannot change my availability for six months if I am hired.

Prosperity Care Services, LLC is an equal opportunity employer providing opportunities for applicants & employees based upon qualities such as ability, performance, skill potential, and general fitness without regard to race, color, religion, sex, national origin, ancestry, age, or handicap. Our company's policy requires that any person interested in employment complete a written application for a particular position for which he or she is qualified. No applicant will be considered for employment solely on the basis of a resume. Applicants who do not provide complete and accurate answers to all application and interview questions will not be considered for employment. Employment requirements (Include, but not limited to): Applicants must be able to speak, write, and understand the English language. Given the communicative challenges many consumers face, it is imperative that this agency not impose additional potential barriers. For those positions for which driving is an essential job function, you must have a vehicle while on-duty, a valid Ohio Driver's License with no more than 6 points on your driving record, and proof of automobile insurance. All applicants must be at least 18 years old, have no felony convictions, and possess a high school diploma or GED certificate. A personal, professional and criminal background check will be completed by Prosperity Care Services, LLC. Additionally, once an offer of employment is made, the applicant must successfully complete CPR and First Aid certification, and obtain a passing grade (80% or higher) of Medication Administration Instructional testing.