*I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability from any damage that may result from utilization of such information.
I, the undersigned applicant, certify and affirm that, to the best of my knowledge and belief; I have or have not (INDICATE BELOW) had a case of abuse, neglect, mistreatment, or exploitation substantiated against me. As a condition of submitting this application and in order to verify this affirmation, I further release and authorize Progress Inc. and the Tennessee Department of Intellectual and Developmental Disabilities Services (DIDDS) to have full and complete access to any and all current or prior personnel or investigative records from any party, person, business or agency, as pertains to any allegation(s) against me of abuse, neglect, mistreatment, or exploitation and to consider this information as may be deemed appropriate.
*I agree to release all investigative records about myself from any source, including Federal, State, and Local Governments. I also understand that Progress Inc. is an at-will employer and if I am offered a position, my employment may be terminated by Progress Inc. with or without notice, for any reason, including the result of information from a criminal background or MVR check and/or Employment History.
*I certify that the facts contained in this application are true and complete to the best of my knowledge, and understand that if employed, falsified statements on this application shall be grounds for dismissal.