CONFIDENTIAL AGREEMENT

DAILY CARE SUPPORT SERVICES, INC.
CONFIDENTIAL AGREEMENT

READ CAREFULLY AND SIGN BELOW IF YOU AGREE TO THESE TERMS OF EMPLOYMENT

I agree that except at the request and for the benefit of Daily Care Support Services, Inc I will not disclose to anyone or use for my own purposes any of Daily Care Support Services, Inc confidential or proprietary information, either during or after my employment. I understand and agree that Daily Care Support Services, Inc bidding, costs, pricing and marketing information and techniques, customer names and information, and employee name and information are confidential and proprietary to Daily Care Support Services, Inc.

I certify that this application contains no willful misrepresentation or falsifications and that this information given by me is true and complete to the best of my knowledge and belief. I authorize Daily Care Support Services, Inc to contact all sources to verify the information on this application. I understand that any falsification, misrepresentation, or fraudulent information provided by me in connection with my application for employment is sufficient grounds for withdrawal of an employment offer or immediate discharge.

I understand that this application is not a contract of employment.

I authorize and request my former employers, references, and educational institutions which have information about me, to give Daily Care Support Services, Inc all information and opinions about me in their possession and which may lawfully be disclosed. I hereby waive written notice of such release of information and opinions, and release such former employers, references, and educational institutions from any liability or claim relating to such release of information and opinions. I also authorize and request federal, state, and local governmental agencies to release to Daily Care Support Services, Inc any information requested concerning any criminal convictions on my record. A photocopy of this signed authorization and waiver shall be valid as an original.

RELEASE OF INFORMATION

I hereby authorized all prior employers, schools, credit bureaus, social security Administration. Law
enforcement agencies and investigative agencies to give Daily Care Support Services, Inc all information
concerning my previous employment and any pertinent information they may have personal or otherwise,
concerning my qualifications for the position applied for. I release to Daily Care Support Services, Inc and all
its employees form all liability for any damage that may result from furnishing information to Daily Care
Support Services, Inc I also release to Daily Care Support Services, Inc and all its employees from all liability
for any damage that may result from reliance on the information furnished. I understand that if a consumer
investigative report is requested, I have the right under the Fair Credit Reporting Act to request in writing,
within a reasonable time, a complete and accurate disclosure of the nature and scope of the investigation.
This written request should be addressed to the location where this application is filed.