Application for Employment

* By selecting the "I Agree" option above and pressing "Submit" I hereby certify that the information contained in this application, and in any attachments made a part, are true and correct to the best of my knowledge and I agree to have any of the statements checked by Covenant Care Services, LLC unless I indicate to the contrary. I authorize previous employers listed in this application to provide Covenant Care Services, LLC any and all information concerning my previous employment and any pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to Covenant Care Services, LLC as well as from the use or disclosure of such information by the organization or any of its agents, employees, or representatives. I understand that I am required to be registered with the Missouri Department of Health and Senior Services Family Care Safety Registry. I understand that any misrepresentation, falsification, or material omission of information on this application, or during my interview, may result in my failure to receive an offer, or if I am hired, my dismissal from employment.