All formsApex Health Solutions

Disclosure Regarding Background Check

Disclosure

Apex Health Solutions LLC

Date:

Applicant Name: Jordan Alvarez

Position Applied For: Certified Home Health Aide (CHHA)

Dear Applicant,

In connection with your application for employment with Apex Health Solutions LLC (“the Company”), we may obtain one or more consumer reports and/or investigative consumer reports about you for employment purposes. These reports may include information concerning your character, general reputation, personal characteristics, and mode of living.