ChapCare Employment Application

I declare that the information on this application and my resume is true and complete to the best of my knowledge. I understand that any false information or significant omissions will disqualify me from further consideration for employment and will be justification for my dismissal from employment if discovered at a later date.

I authorize ChapCare to investigate the information in this application and my resume, and further authorize any person or institution, including my current employer (except if noted otherwise above) to provide ChapCare with records, information, and opinions that may be useful in making a hiring decision, and I release all such persons or institutions from all liability for any damage that may result from furnishing information and opinion that is truthful or made in good faith.

If I become employed, I agree to abide by the rules, regulations, policies and procedures of ChapCare, which may be changed, withdrawn, added or interpreted at any time, at the company’s sole option and without prior notice to me.

I understand that my employment will be at-will, and either ChapCare or I may terminate the employment relationship, with or without cause or notice, at any time. I understand that any oral or written statements to the contrary may be expressly disavowed and should not be relied upon by me.

I understand that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to assure or make some other personnel move, either prior to commencement of employment or after I have become employed, or to assure any benefits or terms and conditions of employment, or to make any agreement, that is contrary to the foregoing.

I hereby acknowledge that I have been advised that this application will remain active for no more than 90 days from the date it was signed.