, understand that as part of the home care employment process, Vital Homecare must complete a background check, which includes criminal history searches for felony and misdemeanor convictions at the county and federal levels of every jurisdiction where I currently reside or where I have resided during the past 7 years; and sex offender registry searches at the county and federal levels in every jurisdiction where I currently reside or where I have resided. Additional checks can be run for any of the following: criminal record, sex and violent offenders record, employment verification, education verification, license verification, motor vehicle records, personal/professional reference, medical suitability, drugs & alcohol abuse.
- I authorize all state and federal agencies, persons and organizations that may have information relevant to this research to disclose such information to Vital Homecare or its authorized agents.
- I understand that this authorization is to be part of the written and signed employment application.
- I also understand that I do not have to give authorization for a background check but if I don’t give permission, my employment application will not be processed further.
- I further authorize that a photocopy of this authorization may be considered as valid as the original.
- I hereby certify that all statements on this form are true and correct to the best of my knowledge and belief. I understand that employment with Vital Homecare is contingent upon successful completion of a background check.
- I further understand that NC General Statute Chapter 131E Article 16 dictates the requirements of homecare employees regarding under what circumstances I may be denied employment as a direct care worker.
- I further understand that it is my responsibility to notify the agency if I have not lived in North Carolina consecutively for 5 years. (No breaks where I have lived out of state even for short periods of time.