By submitting this application, I hereby authorize the employers listed above to release all information to Courtyard Estates. I also understand that this authorization is valid for 60 days. I waive any liability to the employers listed above, and its employees, from any claims of action for disclosure of information that could adversely affect any new employment opportunity.
I understand that, if hired, I am entering into a co-employment relationship whereas Courtyard Estates is
my worksite and directing employer, and Aureon, Inc. is my administrative employer. I
agree that the benefit plans offered in my co-employment package are those of Aureon,
Inc. and are the only benefit plans in which I am eligible to participate. I further agree that I will not
be eligible for other benefits (if any) offered to other non co-employees of Courtyard Estates, now or in
the future. I understand, if hired, I may be required to sign a non-compete/non-disclosure
agreement. This application will be kept in a current file for thirty days. If not contacted during that
period of time, it may be necessary to complete another application to receive further employment
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