I certify that my answers are true and complete to the best of my knowledge.

If this application leads to a position, I understand that false or misleading information in my application or interview may cause me to (1) be eliminated from further consideration for a position or (2) may result in my immediate discharge from Personalized Care at Home. I understand that this company does not unlawfully discriminate. I am also aware that Personalized Care at Home is an equal employment opportunity company.