*By submitting this form, I hereby authorize Blessed At Home and/or Blessed At Home Health Care to conduct an investigation into my background including an investigation of my character, employment record, military record, education and training, and conviction record.  I understand that my employment is conditional upon the receipt and review of all required investigations and background checks including conviction records and employee drug screening.  I understand that this application is good only for 60 days from today’s date.  If I still desire a position with the company after this application expires it will be my duty to fill out a new application and file it with the company.  Otherwise the company will not consider me for employment after this application expires.  I understand that if I am employed, any misrepresentation or omission of material facts on this application is sufficient cause for dismissal.  I agree to conform to the rules and regulations of the company and understand that if hired I will be a “terminable at will” employee and that my employment and compensation can be terminated and/or altered with or without cause and with or without notice at any time.  I understand that neither this document nor any other documents or letters received by me during my employment with Blessed At Home or Blessed Home Health Care nor any offer of employment constitute an employment contract unless a document to that effect is executed by the Board of Members with three Member Signatures.