Starting with your most recent job, accurately list all you have held in the past (5) years. Give correct addresses and telephone numbers. Include volunteer experience.
**FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT.**
DO YOU AUTHORIZE ANGEL CARE HOME CARE TO RECEIVE ANY CRIMINAL HISTORY RECORD INFORMATION PERTAINING TO YOU WHICH MAY BE IN THE FILES OF ANY FEDERAL, STATE, OR LOCAL CRIMINAL JUSTICE AGENCY?