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You will be required to present evidence of legal authorization to work in the United States, in accordance with the Immigration Reform and Control Act.

In answering the following questions you may omit any information or answer “NO RECORD” with regard to any conversation for which there is a sealed record on file with the Commissioner of Probation. In answering the questions you should omit first convictions for drunkenness, simple assault, speeding, minor traffic violations or disturbance of the peace.

In compliance with federal and state equal employment opportunity laws, M/F/D/V qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin,age, marital status, sexual orientation, physical, mental disability, service in the armed forces of the United States or any other protected classification

• I have read and I fully understand the questions asked in this application. I understand that this application is not an offer or contract of employment. If hired, I understand that any employment will be on a 90-day introductory basis and that my employment will be at-will and may be terminated with or without cause or notice at anytime, at either my option or that of Havenly Care Solutions, Inc. I understand that no Havenly Care Solution’s representative has authority to enter into any agreement for continuing employment for any specific period of time or that is contrary to the foregoing without a written agreement signed by myself and the Executive Director at Havenly Care Solutions.
• I authorize Havenly Care Solutions, Inc to investigate all pertinent information concerning my application in order to determine my qualification for employment. I understand that falsification, misrepresentation or omission of facts in this application for employment may result in denial of employment or immediate dismissal.
• I understand that any offer of employment made to me is conditioned based on satisfactory results of TB testing.
• I agree that any personal property carried by me from Havenly Care Solutions, Inc including packages, briefcases or other hand carried items may be inspected by management or client if there is any suspicion or for investigation purposes
• I give permission to Havenly Care Solutions, Inc to submit my name to the Commonwealth of Massachusetts Criminal History Board in order to review any criminal history. I realize that employment is based on the results of the C.O.R.I. report.
• In the event of my employment, I agree to comply with all Havenly Care Solutions, Inc’s policies and procedures as they may be changed from time to time. I understand that neither this employment application nor any other document constitutes a personal contract of employment. I further understand that my employment is for no stated time and may be terminated at the will of Havenly care Solutions, Inc.
• I agree to give proper notice for termination of my employment and I understand if I fail to do so, I will not be entitled to certain benefits which I would otherwise receive. I have the right to leave at anytime with or without written notice. In the event of resignation or termination, I agree to return all property loaned to me including equipment, uniforms, books, keys, etc. If these items are not returned, Havenly Care Solutions, Inc may withhold any final compensation due
• I understand that any offer of employment is conditioned on my submission of satisfactory proof of my legal eligibility to work in the United States.
• I understand that I will not be required to take a lie detector test in connection with my employment.