I understand this application is not an employment contract, nor can it be used to create one. Volunteerism by HACS, Inc.
has no specific term and may be terminated by the volunteer or HACS, Inc. with or without notice.
I acknowledge that HACS, Inc. has not made any promises or representations that differ from those contained in this
paragraph. I certify that all the information provided by me in connection with my application, whether on this
document or not, is true and complete, and I understand that any misstatement, falsification, or omission of
information may be grounds for refusal to accept as a volunteer, to hire, or if hired, termination.
I understand that as a condition of volunteerism, I will be required to provide legal proof of identity.
If I am offered a volunteer position with HACS, Inc., and fail to provide this evidence will result in the termination
of my volunteerism. I understand that HACS, Inc. may conduct background inquiries on me by requesting information
from various federal, state, city, and/or other agencies which maintain records concerning my past activities
relating to my driving, credit, criminal, civil, and other experiences as well as claims involving me in the
files of insurance companies. I hereby authorize HACS, Inc. to request a criminal and/or civil background report.
I understand that HACS, Inc. may utilize any information received in determining my eligibility for volunteerism.
This authorization and consent shall be valid in original, fax, or copy form.
I authorize any of the persons or organizations referenced in this application to give you any and all
information concerning my previous employment, education, or any other information they might have,
personal or otherwise, with regard to any of the subjects covered by this application, and
I release all such parties from all liability from any damages which may result
from furnishing such information to you.