Become a Caregiver

I agree during my employ and subsequent separation from The Caring Heart that I will not solicit or cultivate their clients for incorporation into establishment or furtherance of a business of my own. I further agree upon my separation from Toe Caring Heart that I will not contact or solicit any of its clients or families for at least six months after my employment termination.

Emergency Contact

I authorize The Caring Heart LLC to make whatever inquiries it may deem necessary in connection with my application for employment or independent contractor status. As a part of such inquiries, the Company has my permission to contact persons who may have information regarding my suitability for employment and to secure reports (including investigative consumer reports).

I authorize and instruct any person or agency contacted to participate or conduct inquiries at its request, to compile information, and to furnish any information obtained as a result of such inquiries.

I further authorize the Company, in its sole discretion, to furnish copies of this authorization and my application to any person and/or consumer reporting agency in connection with above purposes.

Information contained in reports obtained by The Caring Heart, LLC in accordance with the above authorization may include information partaining to your character, general reputation, police record, personal characteristics and mode of living. You have the right to request the The Caring Heart, LLC completely disclose to you the nature and scope of all investigations requested. Such a request must be made in writing to the personnel department within a reasonable period of time after your application for employment or status as an independent contractor is received.

I hereby acknowledge that I have read the above disclosure statement and have understood it.

Certification: I attest, under penalty of perjury, that (1) I have examined the documentation presented by the above-named employee, (2) the above-listed documentation appears to be genuine and to relate to the employee named, and (3) to the best of my knowledge, the employee Is authorized to work In the United States.