In exchange for the consideration of my job application by American Healthcare Staffing LLC (hereinafter called ( “the Company”, “AHS”), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other AHS practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of , or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /CEO of the Company. Both the undersigned and company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the AHS may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give AHS the permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability because of such contract.

I also understand that (1) AHS has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy.

I understand that, in connection with the routine processing of your employment application, the AHS may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it.

I further understand that my employment with the AHS shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law.

Disclosure of Health Information: I authorize the use or disclosure of my health information to American Healthcare Staffing, LLC. Description of information that may be used or disclosed: (Note: e.g., all information related to a specific test or type of evaluation) Please list____________________ the information will be used or disclosed for the following purposes: American Healthcare Staffing, LLC and its clients in evaluating my qualifications for employment opportunities and related activities. I understand that I may revoke this authorization at any time by sending a written request to the AHS.

I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.