Pre-Employment Form

By signing this application you agree to provide Community Best Care LLC a recent TB and Drug Test and authorize Community Best Care LLC to have the Arkansas State Police to conduct a complete background check.  No Independent Contractor (caregiver) will be placed with a Client until the background check has been completed and returned to CBC LLC by the Arkansas State Police and the TB and Drug Screening has been completed provided to CBC LLC.

I certify that my answers are true and complete to the best of my knowledge.  I authorize CBC LLC to make any investigations and inquiries into my personal employment, educations, financial, police background, and medical history including drug screening and TB test results, as may be necessary for a contract decision.  I hereby release any employer, school, or individual from any and all liability when responding to any inquiries in connection with my application.