APPLICANT'S CERTIFICATION AND AGREEMENT
I hereby certify that the facts set forth in the above employment application are
true and complete to the best of my knowledge and authorize SAFE Haven,
LLC to verify their accuracy and to obtain reference information on my work
performance. I hereby release SAFE Haven, LLC its successors and/or
assigns from any/all liability of whatever kind and nature which, at any time,
could result from obtaining and having an employment decision based on such
information.
I understand that, if accepted and approved for the transitional housing
program, falsified statements of any kind or omissions of facts called for on this
application shall be considered sufficient basis for dismissal.
I understand that should an employment offer be extended to me and accepted
that I will fully adhere to the policies, rules and regulations of the participant
agreement of the SAFE Haven, LLC. However, I further understand that neither
the policies, rules, regulations of employment or anything said during the
interview process shall be deemed to constitute the terms of an implied
participant aggreement contract. I understand that any housing program
offered is for a set period duration as set forth in the program contract and at
will and that either I or SAFE Haven, LLC may terminate my transitional housing
limited licensing agreement subject to the terms and conditions of the
agreement.
Signature of Applicant_______________________ Date: __________
