I hereby certify that the information I have provided to Active Care Youth and Adult Services (ACYAS) in this application is correct, true, and complete. I hereby authorize ACYAS to thoroughly investigate my references, employment record and other matters related to my suitability for employment. I authorize, my current employer (if applicable), and previous employers contacted by ACYAS to provide any relevant information regarding my current and/or previous employment and I release all persons, employers of any and all claims for providing such information. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of ACYAS. I understand that any offer of employment shall be conditional upon successful reference and/or background checks and upon signing and accepting ACYAS standard terms and conditions of employment and agreeing to abide by ACYAS policies and procedures. All information gathered will be used for the sole purpose of employment.
I have read and fully understand this ACYAS employment application, and seek employment under these conditions.
