I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not and is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

I understand, also, that I am required to abide by all rules and regulations of the Company. If I am employed, I understand and agree that when my employment is terminated by retirement or otherwise, I must return all of Employer's property in my custody, including office keys, manuals and sales material before I am entitled to final payment of any amounts due me on separation.

I acknowledge that I will be required to shadow another employee prior to being hired and agree to maintain confidentiality and privacy regarding any and all resident information.