I understand that any omissions, falsifications, or misrepresentations may disqualify me from working as a caregiver at any time. I consent to the release of information about background and employment history to Hopewell by employers, schools, law enforcement agencies, and other individuals and organizations. I certify that to the best of my knowledge and belief, all of the information and statements provided in this application and on any attachments are true, correct, complete, and made in good faith.