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LIFE BRIDGES, INC.
P.O. BOX 29, 764 OLD CHATTANOOGA PIKE, S.W.
CLEVELAND, TN. 37364-0029
PHONE (423) 472-5268

ATTENTION PROSPECTIVE EMPLOYEE

Life Bridges, Inc. does not tolerate abuse, neglect or mistreatment of the persons served by the Agency. The team approach to care-giving is used and is described by the Agency as staff working together, supporting one another and monitoring one another.
  I, the undersigned applicant, certify and affirm that, to the best of my knowledge and belief: I ("have" or "have not", as applicable) had a case of abuse, neglect, mistreatment or exploitation substantiated against me. As a condition of submitting this application and in order to verify this affirmation, I further release and authorize Life Bridges, Inc., the Tennessee Department of Intellectual and Developmental Disabilities and the Bureau of TennCare to have full and complete access to any and all current or prior personnel or investigative records, from any party, person, business, entity or agency, whether governmental or non-governmental, as pertains to any allegations against me of abuse, neglect, mistreatment or exploitation and to consider this information as may be deemed appropriate. This authorization extends to providing any applicable information in personnel or investigative reports concerning my employment with this employer to my future employers who may be Providers of DIDD services.
I have read and understand the statement written above








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Please email MelvinBrooks@LifeBridgesOnline.com