I hereby give consent for Shalom Community Care, Inc. to conduct a check of reports of abuse, neglect or exploitation on record concerning me as well as the known sex offender list available to the public. I understand that if I am hired, any falsification and/or omissions that are later discovered will be grounds for immediate dismissal.
2201 Murfreesboro Pike
Suite A-222
Nashville, TN 37217
Phone: +1 615 678-5041
Fax: +1 615 457-1193
[email protected]
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