I certify that the information on this employment application is true and complete to the best of my knowledge. I understand that any misrepresentation, willful omission, false or misleading information is grounds for rejection of this application form, refusal to hire, withdrawal of an offer of employment, or immediate discharge whenever discovered. You are authorized to conduct investigations, including verification of prior employment history and education. I also understand that employment is dependent upon receipt of acceptable employment references and satisfactory documents required by the Immigration Reform and Control Act of 1986. Reliant Home Health, Inc does not discriminate against any qualified person because of age, race, color, religion, sex, national origin, or sexual orientation. By signing this application, I acknowledge that an offer of employment at RHH should be interpreted as an offer of continued or permanent employment.