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I __________________ hereby give LLC Group permission to conduct and investigation to obtain information which LLC Group thinks is necessary to determine my qualifications for employment with the company, including but not limited to, my permission to contact any former employer and personal professional references, banks, credit or financial bureau or office, police department, law enforcement agency, any consumer reporting agency, personal or otherwise, that such sources may have relating to my character,general reputation, or criminal records, and I give my consent to any source to release to LLC Group whatever information they have about me.
I also understand that the information requested about me in the application process is necessary so that the accurate information is obtainable. I hereby consent to this investigation and authorize LLC Group to procure a consumer report on my background as started above from a consumer reporting agency. I also unconditionally release all named and unnamed sources from all liability which might result from furnishing any information about me.

Background Authorization

As a condition of my assignment by LLC Group to client, I hereby agree as follows: I will not use, disclose, or in any way reveal or disseminate to unauthorized parties any information I gain through contact with materials or documents that are made available through my assignment at client or which I learn about during such assignment.
I will not disclose or in any way reveal or disseminate any information pertaining to client or staffing agency or its operating methods and procedures that come to my attention as a result of this assignment.
Under no circumstances will I remove physical or electronic documents or copies of documents from the premises of client or staffing agency.
I understand that I will be responsible for any direct or consequential damages resulting from any violation of this agreement.
I understand that any breach of confidentiality may be grounds for immediate termination of employment as well as any appropriate legal actions.The obligation of this agreement I hereby understand and accept.

Benefits Waiver for Assigned Employees

In consideration of my assignment to CLIENT by STAFFING FIRM, I agree that I am solely an employee of STAFFING FIRM for benefits plan purposes and that I am eligible only for such benefits as STAFFING FIRM may offer to me as its employee. I further understand and agree that I am not eligible for or

entitled to participate in or make any claim upon any benefit plan, policy, or practice offered by CLIENT, its parents, affiliates, subsidiaries, or successors to any of their direct employees, regardless of the length of my assignment to CLIENT by STAFFING FIRM and regardless of whether I am held to be a common-law employee of CLIENT for any purpose; and therefore, with full knowledge and understanding, I hereby expressly waive any claim or right that I may have, now or in the future, to such benefits and agree not to make any claim for such benefits.

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Please use the checklist below, and remember to gather the supporting documents  your application:
1. Drivers License-Front and Back
2. PPD
3. Licensing Certificate (No look-ups)
4. Social Security Card-Front and Back
5. CPR Card BLS
6. W9/W4
7. I9
8. Direct Deposit Form
9.Employee Handbook Signature Page ONLY

10. BBB Abbritation Clause

11. Vaccination Cards

We accept additional forms via fax (757)902-1142