I hereby certify that the information this application is correct and complete to the best of my knowledge. I understand that falsification or omission of any material information on this application, during my interview, or on my resume. I understand that this application will no longer be active or receive further consideration once the position for which I am applying has been filled, or if I am employed but not actively working for All About You for a period of six months or more. I agree to have any of the statements herein as well as my background investigated by All About You or its agents. This authorization shall become effective immediately and shall remain in effect for a period of twelve months after the date of signing this authorization. I understand that the background investigation may include, but is not limited to, reviewing my education, employment history, any public records, and personal references, Records will be obtained through a search of my Social Security number, name, or other identifying information. In reviewing my employment history, I understand that All About You may contact any or all of my listed previous employers, and I consent to All About You doing so. In consideration for reviewing my application and other related information, I hereby waive and release All About You, its employees and agents, and all other entities and persons from any claims I might have, including defamation and invasion of privacy, arising out of any verbal or written inquires and/or any verbal or written responses related to investigation of my background as well as the use or disclosure of such information. I understand that a photocopy of this authorization is to be considered as valid as the original.

I agree that if employed, I will abide by all policies and procedures established by All About You. I acknowledge that All About You reserves the right to amend or modify any of its handbooks, policies and procedures at any time and without prior notice. I understand that my employment is “at will”, that I may resign at any time, that All About You may terminate my employment at any time, with or without cause, and that no employee or other representative of All About You has the authority to make an agreement contrary to the foregoing unless it is in writing and signed by All About You CEO & President. This constitutes my entire agreement with the Company with regard to the matters set forth in this paragraph.

I understand that All About You is not an employment agency and that the services Rrendered is made possible only by a substantial investment in the hiring process for a large staff. As a condition of employment, I agree not to solicit any client or patient for employment that I am assigned, from this date and for a period of 270 days from the last date employed by All About You. In the event this agreement is violated, I acknowledge it would be difficult to ascertain the precise amount of damages that All About You would suffer. Therefore, I agree that I will be obligated to pay All About You $5000.00 in liquidated damages.

I agree to maintain confidentiality of all patient information including, but not limited to, names and addresses of clients and referral sources, patient medical condition, treatment, rates, etc.; I understand that my failure to do so may result in disciplinary action up to and including discharge. I also agree to follow the rules and regulations set forth by the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH Act) which helps ensure that all medical records, medical billing, and patient accounts, both printed and electronic, meet certain consistent standards with regard to documentation, handling and privacy.

Pennsylvania law requires us to provide medical treatment in the event you are injured at work. All About You will provide this care through a Medical Provider Network (MPN). I am aware that I must immediately notify All About You should I require treatment. Additional information regarding the MPN will be available

Recognizing that payroll errors may occur for a number of reasons (e.g. illegible timecards, misidentification of employee name or number, keystroke errors; if I am employed, I authorize All About You to withhold pay in order to correct for any payroll error that may have resulted in my overpayment.

In connection with my application for employment, including any contract for services All About You; I understand that a consumer report that contain public information may be requested from All About You, I authorize, without reservation, any party or agency by All About You or one of its agents to furnish above mentioned information. I have a right to make a request to All About You, upon proper identification, of the nature and substance of all information in its files on me at the time of my request, including the sources of information, and the recipients of any reports on me, which All About You has previously furnished within the two-year periods preceding my request. You have the right to receive a copy of your consumer report.