Employment Information

In connection with, and for the duration of employment, including contract for services with Markesan Resident Home, I understand that investigative background inquiries are conducted into criminal, driving and other reporting. This reporting will include information as to: character, work habits and performance along with reasons for termination from previous employers. Further, I understand that, if I am offered a position, Markesan Resident Home will be requesting information from various Federal, State and other agencies that maintain records concerning any past activities relating but not limited to: driving, criminal, civil and other reports. I authorize any party or agency contracted by Markesan Resident Home to furnish the above mentioned information.