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I have disclosed any criminal convictions, findings of guilt, pleas of guilty, pleas of nolo Contendere except minor traffic offences if applicable.

O' Wow Home Care Services LLC Prohibits the use of unauthorized use of alcoholic beverages in the workplace, and unlawful use possession, concealment, transportations, promotions, sale or distribution of any controlled substance on O' Wow Home Care Services LLC property or while engaged in business away from O' Wow Home Care Services LLC. Employees who violate this policy will be subject to corrective action up to, and including, termination of employment.

O' Wow Home Care Services LLC has my permission to check for all aliases and social security numbers used by me. I hereby authorize O' Wow Home Care Services LLC to conduct normal employment inquires as described, this authorization is valid by my:

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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