This document is to serve as a contract between, First Name* Last Name* and Innovative Long Term Care Solutions. Both parties enter and agree to the following:
Innovative Long Term Care Solutions Will:
Participant Named Above Agrees To:
Partner Facility and shift for 6 months at a full-time capacity upon completion of the course and licensing through the State DHHS office.
By signing below, I agree and understand that: I am applying for a participant loan in the amount of $1,241.00 US Dollars. A breakdown of the fees are listed below.
Bank Routing # blanks* . Bank Account # blank* . for direct deposits.
I, Name hereby authorize Quality Career Pathways to release my Certificate of Completion and/or verification to the following individual(s) or organization(s): Innovative Long Term Care Solutions I understand that by signing this release authorization, I am granting permission for Quality Career Pathways to disclose my Certificate of Completion and/or verification to the designated recipient(s) listed above. I also acknowledge that Quality Career Pathways may rely on this release authorization to disclose the aforementioned information without any further consent from me.I further affirm that I have completed all necessary requirements and qualifications to receive the Certificate of Completion and/or verification from Quality Career Pathways.