As a condition of employment, I understand that I am responsible for getting to and from the job and that I have a reliable means of transportation. I agree not
to accept a permanent position with any Home Care Plus, L.L.C. client with whom I am placed. I hereby certify that I have not knowingly withheld any pertinent
information and that the answers given by me are true and correct to the best of my knowledge. I further understand that any omission, misrepresentation or
falsification of any fact contained in this application shall be grounds for rejection of my application or for immediate termination. I hereby authorize Home
Care Plus, L.L.C. to investigate any statements contained herein, and the references listed above, to give the company any and all information concerning my
previous employment and any other pertinent information they may have. I further release all parties from all claims or liability arising out of or related to
such investigation or disclosure. This application will be kept on file with Home Care Plus, L.L.C. for two years from the date application is signed.