Valley Senior Living Employment Application Consent Form

Valley Senior Living is an Equal Opportunity Employer and does not discriminate based on race, color, religion, national origin, age, sexual orientation, gender identity, marital status, physical or mental disability, pregnancy, military status, or any other status protected by law.

Criminal Background Check Consent

I, the undersigned applicant for employment or volunteer opportunities with Valley Senior Living, acknowledge that as a part of the application process, Valley Senior Living will conduct a criminal background check. I hereby consent to Valley Senior Living using the information provided during the application process to perform this check. I understand that I have the right to review and dispute any negative information that could impact a decision to offer me employment or volunteer opportunities. Additionally, I have been informed that I will have a reasonable opportunity to correct any inaccurate information within a time frame determined by Valley Senior Living. Under the Fair Credit Reporting Act (FCRA), I understand that upon request, I will be provided the name, address, and phone number of the reporting agency, as well as the nature, substance and source of all information.

Pre-Employment Drug Screening Consent

I acknowledge that a pre-employment drug screening is a requirement of employment with Valley Senior Living. As an applicant, if I am offered a position I agree to complete the drug screening within the specified timeframe. Failure to do so will result in the forfeiture of this opportunity and disqualify me from being considered for employment for one year. I also understand I have the right to review and challenge any negative information that may affect a decision regarding my employment.

Authorization for Reference and Background Checks

I authorize Valley Senior Living to contact my previous employers, educational institutions, and personal references to verify the information I have provided on the application. I further authorize these references to disclose relevant information about my background to Valley Senior Living. I certify that all information I have provided in this application is true and complete. I understand that providing false or misleading information may be grounds for disqualification from consideration or for termination if I am hired.

At-Will Employment Disclaimer

I understand that if I am hired, my employment is “at-will,” meaning either I or Valley Senior Living may terminate the employment relationship at any time, with or without cause or notice. Nothing in this consent form or any other company document creates an employment contract or guarantees employment.

Authorization to Release Information

I consent to Valley Senior Living obtaining and verifying any information necessary for employment purposes, including my criminal history, drug screening results, employment history, licensure, certification and references. I release Valley Senior Living from any liability associated with the collection, use, or disclosure of this information.

Acknowledgment of Understanding

I acknowledge that I have read and understand the above statements. I confirm that all information provided on my application is accurate, and that any false or misleading information provided may be grounds for disqualification from consideration or for termination if hired.

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