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I certify that
the information in this application is correct to the
best of my knowledge. I understand that incomplete or incorrect
information may be grounds for refusing to hire or
terminating me if I am hired.
I authorize all
schools, former employers, references, and the state licensing
board that have information about me, to provide such
information to the employer and release all parties from any
liability for any damage that may result from providing such
information. I also authorize you (the employer) to request and
receive such information.
I also
acknowledge that my employment may be terminated, or any offer
or acceptance of employment be withdrawn, at any time, with or
without cause, and with or without prior notice at the option of
the company or myself.
This
application is considered current for 30 days. If you wish to be
considered for later employment, you must renew and update your
application in writing.
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