Job Application

I hereby swear and affirm that a criminal history background clearance has been requested of the Pennsylvania State Police (PA State Police for in state residents, or the FBI for out of state residents, or less than two years PA residency), and that I have never been convicted of a crime that would prohibit my employment at Country Comfort Alternative Living, Inc. I understand that my employment is provisional and continued employment is based upon information to be received from the criminal justice agency. If the clearance request indicates conviction for crimes that prohibit my employment under Act 13, I understand that my employment must be terminated in compliance with state law.

By checking the box below, I agree and certify that answers given herein are true and complete to the best of my knowledge. In the event of employment, I understand that false information given in my application may result in discharge. I also understand that I am required to abide by all rules and regulations of Country Comfort Alternative Living, Inc.