Under Ohio Admin. Code 5123:2-2-02, DIGNIFIED DAYS LLC must conduct background checks for employment. There are five tiers of disqualifying offenses affecting eligibility. All final applicants must submit a background check through the Bureau of Criminal Identification and Investigation. Your signature confirms your understanding of this requirement. *

Your signature verifies you understand that prospective employees who will be providing non-medical transportation must submit to and pass a drug test and a physical fitness to drive following a job offer.*

I authorize Taylor Made Nursing/Dignified Days LLC to investigate my references, work history, education, and other information provided in this application. I permit my previous employers and references to disclose all related information without prior notice. I release Taylor Made Nursing/Dignified Days LLC and all involved parties from any claims related to this investigation.

In the event of my employment with Taylor Made Nursing/Dignified Days LLC, I understand I am required to comply with all rules and regulations of Taylor Made Nursing/Dignified Days LLC.

If hired, I understand my employment with Taylor Made Nursing/Dignified Days LLC is at-will, meaning neither I nor the company is obligated to continue the relationship for any specific term. Either party may terminate employment at any time, with or without cause or notice. This at-will status cannot be changed by oral modifications.

I understand that employee safety is a top priority for Taylor Made Nursing/Dignified Days LLC, and the company is committed to a safe working environment. I recognize my responsibility to prevent accidents by following safety procedures and my supervisor's directions. I will promptly report any work-related accidents, injuries, or illnesses. I agree to comply with all safety regulations.

I hereby certify the information given by me in this application is true and correct to the best of my knowledge.  I further certify that I, the undersigned applicant, have personally completed this application.  I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application, or for immediate discharge if I am employed, regardless of the time elapsed before discovery. 

I understand that if I am selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that if any term, provision, or portion of this Agreement is declared void or unenforceable, it shall be severed, and the remainder of this Agreement shall be unenforceable.