NCI & AHI Employment Application

Investigation Authorization: I authorize an investigation into all statements and references contained in this application. Said investigation may include interviews with past employers, workers, and friends. Said investigation may include credit, driving, criminal background, drug screenings, references, and other background checks. As a condition of applying for this job, I authorize reasonable post-offer investigations into my credit, driving, and criminal background. I authorize the references and contacts listed to provide the agency with any and all relevant information, personal or otherwise, and to the fullest extent allowed by law, I release all parties from all liability for any damages that may result from furnishing the same to the agency.

Company Obligation: I understand and agree that the Company's acceptance of this job application does not mean that a position for which I am qualified is open (unless specifically posted) or that the company has agreed to hire me. I understand that the Company is under no obligation to hire me as a result of accepting this completed application.

Fingerprints: All employees are required to submit their fingerprints by 'Live Scan' for clearance through the Department of Justice and/or FBI. Failure of fingerprints to clear or failure to list any crime may be grounds for termination. The employer covers the cost.

Driver's License, DMV History & Vehicle Insurance Both agencies require driving for agency business; therefore, all applicants must have a valid CA Driver's License (2 years minimum) clean Driving Record, and provide proof of valid auto insurance. Applicants must be considered an acceptable driver by the agency's insurance carrier. If an applicant is uninsurable by the agency's carrier, the applicant cannot be employed by the agency.

First Aid/CPR All Direct Service Staff are required to successfully complete, a First Aid/CPR training course arranged and provided by the employer. Staff who fail to meet this requirement may not work again until they have successfully completed the training. The employer covers the cost.

Proof of Right to Work: At the time of hire you will be required to present proof of your right to remain and work in the U.S.A.

Arbitration: You understand that, if offered employment, you will be required to sign an agreement requiring you to arbitrate almost all claims you might have against the agency in the future. You hereby agree to submit to binding arbitration all disputes and claims arising out of the submission of this application in accordance with the terms of that Agreement.

I CERTIFY UNDER PENALTY OF PERJURY PURSUANT TO THE LAWS OF THIS STATE THAT MY ANSWERS ARE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I AM AWARE THAT FAILURE TO COMPLETE THIS APPLICATION, INTENTIONAL OMISSIONS, OR MISSTATEMENTS MAY RESULT IN REFUSAL OF EMPLOYMENT OR DISCHARGE. I UNDERSTAND IF HIRED, MY EMPLOYMENT WILL BE “AT-WILL,” FOR NO DEFINITE OR SPECIFIC PERIOD OF TIME AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, FOR ANY REASON, OR FOR NO REASON AT ALL, WITH OR WITHOUT PRIOR NOTICE AT THE OPTION OF THE AGENCY OR ME. I ALSO UNDERSTAND THAT OFFERS OF EMPLOYMENT MAY BE CONTINGENT ON A SATISFACTORY BACKGROUND CHECK, INCLUDING A REVIEW OF MY CRIMINAL HISTORY. I HAVE READ AND UNDERSTAND THE ABOVE POLICY STATEMENTS AND AGREE TO BE BOUND BY THEM IF EMPLOYED BY THE COMPANY.