APPLICANT’S STATEMENT
By submitting this application you acknowledge and agree to the following. Should you be asked to come in for an interview, you will be required to sign a print out of this document.
I understand that any employment by Sunset Home will be on a 90-day probationary period. If employed by Sunset Home, I agree to comply with the Home’s policies, procedures, rules and regulations. The above information is complete and true to the best of my knowledge. I understand discovery of misrepresentation or omission of facts herein will be cause for immediate dismissal. I authorize Sunset Home to contact the three (3) references, which I have provided and signed a release form. I agree to take a physical examination at any time, at the request of Sunset Home, and agree that the examining physician may disclose the findings/results to Sunset Home.
______________________________
PRINT FULL NAME
______________________________
APPLICANT’S SIGNATURE
____________________
DATE
