This institution does not discriminate in hiring or any other decision on the basis of race, color, sex, citizenship, national origin, ancestry, veteran era, veteran status, or on the basis of age, or physical, or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination. I voluntarily give this institute the right to make a thorough investigation of my past employment and activities, agree to cooperate in such investigation and release from all liability or responsibility all persons, companies or corporations supplying such information. I consent to take the physical examination and such physical examinations as may be required by this institute at such times and places as the institute may designate. I understand that an offer of employment may be contingent on passing the physical examination which relates to the essential duties I would be required to perform. I understand that my employment is at will, and that either party is free to terminate the employment relationship at time without cause. I also understand that my employment may be terminated for any misstatement or omission of fact appearing on this application form. If employed, I will be required to complete an Employment Verification Form (I-9), and within three business days show satisfactory evidence of identity and eligibility for employment. By signing below, you are authorizing Wedgwood Gardens Care Center to perform a background check for purposes of evaluating whether you are qualified for the position for which you are applying.