I hereby give you my permission to contact the above employers, references and educational institutions to verify the items I listed above. I hereby release Residential Options, Inc. and the referenced organizations, reference persons and employers from all claims, liability and damages that may result from furnishing the information to you. I expressly and fully waive all written notice from all prior employers. I consent to releasing any information relating to my job performance which is documented in my personnel file.
I also understand that due to the nature of my job and licensing requirements, I hereby consent to the release of this application or portions of this application to representatives of the Department of Commerce/Department of Consumer and Industry Services, Department of Human Services, Department of Community Health, and local Community Mental Health agencies, or other governmental or private agencies for all licensing or investigator purposes and to verify information I have listed in this job application. I hereby release Residential Options, Inc., the Department of Commerce, Department of Human Services, Department of Community Health, the local Community Mental Health Authorities and other various governmental or private agencies from all claims, liability, and damages that may result from furnishing the information.
I further specifically waive written notice and agree to the divulging of any disciplinary reports, letters of reprimand or other disciplinary action by all prior employers from all claims, liability, and damages that my result from furnishing the information.
This application will be kept for six months. You need to complete another application to be reconsidered after this date.
I hereby certify that all of the information stated above is true to the best of my knowledge. I further realize that this application does not constitute an offer of employment by Residential Options, Inc. and that it creates no obligation. If I am employed, in consideration of that employment I agree to conform to the rules and regulations of Residential Options, Inc., and I agree that my employment and compensation may be terminated with or without cause and with or without notice at any time at the sole discretion of Residential Options, Inc. I understand that no employee, officer, or other representative of Residential Options, other than the Director, has any authority to enter into any agreement for employment for any specified purpose or period of time or to make any agreement contrary to the foregoing.