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COMPREHENSIVE EMPLOYMENT AUTHORIZATION,
FAIR CREDIT REPORTING ACT DISCLOSURE & AUTHORIZATION,
DRUG TESTING CONSENT,
AND ELECTRONIC SIGNATURE AUTHORIZATION

Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for High Hopes Child Care LLC and High Hopes at Home to hire me. If I am hired, I understand that I will be employed on an at-will basis and either High Hopes Child Care LLC and High Hopes at Home or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of High Hopes Child Care LLC and High Hopes at Home has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to High Hopes Child Care LLC and High Hopes at Home true and complete information on this application. No requested information has been concealed. I authorize High Hopes Child Care LLC and High Hopes at Home to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this can result in disqualification for employment consideration or, if hired, may be grounds for immediate dismissal. THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE ABOVE.

Fair Credit Reporting Act Disclosure Statement

By this document, High Hopes Child Care LLC and High Hopes at Home discloses to you that a consumer report, including an investigative consumer report containing information as to your character, general reputation, personal characteristics and mode of living, may be obtained for employment purposes as part of the pre-employment background investigation and at any time during your employment. Should an investigative consumer report be requested, you will have the right to request a complete and accurate disclosure of the nature and scope of the investigation requested and a written summary of your rights under the Fair Credit Reporting Act. Please sign below to acknowledge the receipt of this disclosure.

FCRA Authorization to Obtain a Consumer Report (Background/Credit Check)

Pursuant to the federal Fair Credit Reporting Act, I hereby authorize High Hopes Child Care LLC and High Hopes at Home and its designated agents and representatives to conduct a comprehensive review of my background through a consumer report and/or an investigative consumer report to be generated for employment, promotion, reassignment or retention as an employee. I understand that the scope of the consumer report/investigative consumer report may include, but is not limited to, the following areas: verification of Social Security number; current and previous residences; employment history, including all personnel files; education; references; credit history and reports; criminal history, including records from any criminal justice agency in any or all federal, state or county jurisdictions; birth records; motor vehicle records, including traffic citations and registration; and any other public records.

I understand that, for purposes of compliance with the Fair Credit Reporting Act and to ensure accurate identity verification when obtaining a consumer report and/or investigative consumer report, High Hopes Child Care LLC and High Hopes at Home require me to provide my Driver’s License number, issuing state, and Date of Birth as part of the employment application process. I acknowledge that this information is requested solely for background screening, identity verification, and regulatory compliance purposes, and I understand that, outside of legally required or regulatory considerations, High Hopes Child Care LLC and High Hopes at Home do not and will not take adverse employment action against an applicant or employee based on Date of Birth.

I authorize the complete release of these records or data pertaining to me that an individual, company, firm, corporation or public agency may have. I hereby authorize and request any present or former employer, school, police department, financial institution or other persons having personal knowledge of me to furnish High Hopes Child Care LLC and High Hopes at Home or its designated agents with any and all information in their possession regarding me in connection with an application of employment.

I am authorizing that a photocopy or electronic copy of this authorization be accepted with the same authority as the original. I understand that, pursuant to the federal Fair Credit Reporting Act, if any adverse action is to be taken based upon the consumer report, a copy of the report and a summary of the consumer’s rights will be provided to me.

Consent for Pre-Employment, Random, or Reasonable Suspicion Drug Test Screen and Release, Covenant Not to Sue, and Indemnity Agreement

I hereby CONSENT to allow (medical center) to take a specimen of my hair, urine, or blood and submit it for a pre-employment, random, or reasonable suspicion drug test screen. I FURTHER CONSENT to allow the laboratory testing service to make the results of such screen available to the prospective or current employer, High Hopes Child Care LLC and High Hopes at Home.

In consideration for such services being rendered on my behalf, I hereby RELEASE the laboratory testing service, its officers, agents, and employees, from any and all claims which I might otherwise have due to such results being made so available.

I hereby CONSENT NOT TO FILE ANY ACTION at law or in equity against High Hopes Child Care LLC and High Hopes at Home, the laboratory testing service, their respective officers, agents or employees in connection with the results of such screen being made so available, and I hereby agree to INDEMNIFY and SAVE HARMLESS High Hopes Child Care LLC and High Hopes at Home, the laboratory testing service, their respective officers, agents, and employees from all damages, expenses, reasonable attorney's fees, and costs of court which they or any of them may suffer or incur, jointly or severally, due to the results of such screen being made so available.

Electronic Signature Authorization (Applies to All Employment-Related Forms)

I understand and agree that my electronic signature, acknowledgment, initials, or other electronic acceptance, whether provided through an online application system, electronic form, employee portal, or other electronic means, constitutes my legal signature and has the same force and effect as a handwritten signature.

I further agree that this electronic signature authorization applies not only to this document, but to all employment-related forms, acknowledgments, policies, agreements, authorizations, updates, and certifications that I may be required to review or sign during my application process and throughout my employment with High Hopes Child Care LLC and/or High Hopes at Home, unless otherwise required by law.

I consent to conduct employment-related business electronically and to receive, review, and sign documents in electronic form.