I authorize any of the persons or organizations listed in the application to provide Welcome Back Home Care all information concerning my previous employment, education, or any other information they may have, personal or otherwise with regards to any of the subjects covered by this application. I release all such persons or organizations from all liability for any damages that may result from furnishing such information to Welcome Back Home Care. I authorize Welcome Back Home Care to request that any person or organization contacted by Welcome Back Home Care to provide such information as may be requested.