By submitting your information, you acknowledge that all representations made by you are true and correct to the best of your knowledge and belief, and you have not knowingly omitted any relevant information. You understand that any inaccurate information may disqualify you from employment before or after you are hired. By submitting your information, you acknowledge that you have read and understood the foregoing and consent to the uses of your information as set out above.

Please carefully read the following information because it contains terms and conditions that affect your application and potential employment with Care Synergy and it's Affiliates or, if already hired, your continued employment: Care Synergy and it's Affiliates is an Equal Employment Opportunity Employer and gives all applicants for employment equal consideration regardless of race, color, sex, religion, national origin, arrest record, ancestry, age, physical or mental disability, sexual orientation, transgender status, genetic information, marital status, citizenship status, veteran status, pregnancy, or any other status protected by federal, state or local law. Upon request and consistent with applicable laws, Care Synergy and it's Affiliates will provide reasonable accommodations to individuals with disabilities who need an accommodation to fully participate in the application process.

If hired, I agree to abide by all of the rules and regulations of the Company. I understand and agree that nothing in this application shall constitute an offer, a contract or a guarantee of employment for a specific period of time. If hired, I understand that my employment is at-will and may be terminated with or without cause and with or without notice at any time, at the option of either Care Synergy and it's Affiliates or myself. I further understand that no representative or agent of the Company, other than an Officer of the Company, has the authority to enter into any agreement for employment for any specific period of time, or to make an agreement contrary to the foregoing. I also understand that any agreement modifying my at-will employment status must be in writing and signed by an Officer of the Company. In addition, I understand that the company and all plan administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or other terms and conditions of employment.

I understand that any hiring decision is contingent upon my successful completion of all of the Company’s lawful pre-employment checks, which may include a background check. I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment checks.

I certify that all of the answers and all other information provided by me in the hiring process will be true, accurate and complete. I understand that the omission and/or misrepresentation of any fact from or on this application, resume, or during any interview will result in immediate rejection of my application or if I am hired will be cause for immediate dismissal. Unless I noted otherwise, I authorize the Company to contact all my employment references and personal references, as well as the education institutions I have attended. I further authorize the Company to inquire about, investigate and obtain copies of any records which relate to me from my former employers and educational institutions. I hereby release Care Synergy and it's Affiliates and all affiliated persons and entities, as well as any person or institution that provides Care Synergy and it's Affiliates with any lawful information about me, from any and all liability whatsoever resulting from any such lawful inquiry, investigation or communication.

I agree to submit to any lawful testing, physical or otherwise, as requested by Care Synergy and it's Affiliates . Such testing, physical or otherwise, may be requested prior to acceptance for employment or at any subsequent intervals after employment commences. Such testing, physical or otherwise, may be to determine my fitness to begin or continue employment with Care Synergy and it's Affiliates .

I acknowledge that this application will remain active for no more than 60 days from the date it was completed, after which I must reapply to be considered for employment.

DO NOT ACKNOWLEDGE UNTIL YOU HAVE READ AND AGREE TO THE ABOVE APPLICANT STATEMENT.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

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