APPLICATION FOR EMPLOYMENT

The relationship between you and the WellCare Support Services is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the WellCare Support Services. No representative of WellCare Support Services has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President Please read carefully before signing: My signature verifies that the information provided in this application is true and complete to the best of my knowledge. I understand that this agency is an equal opportunity employer and that falsification, including withholding of information, on this application is ground for immediate dismissal if am selected for the position. I further understand that if am hired, I can be terminated with or without cause and with or without notice. I agree to have my picture taken for identification purposes and to submit to drug screening tests, upon request. I understand that all references listed above maybe contacted in addition to past employers and educational institutions: I (put your initials) ………………... give permission………….. do not give permission for you to contact my current employer for a reference WellCare Support Services agency is an equal opportunity employer and does not discriminate because of sex, age, physical handicap, race, creed or national origin. By signing this application, I verify that I have read the above, had an opportunity to clarify information about items I did not understand and agree with the above parameters.