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I acknowledge that providing false information or omitting relevant details may lead to disqualification from consideration for employment and, if discovered later, may result in termination. I grant authorization and consent to actively participate in a thorough investigation encompassing all statements made here and matters pertaining to my background and qualifications.


I am aware that this investigation may involve seeking details about my employment history, education, and any criminal record. I authorize individuals, schools, present and past employers, consumer reporting agencies, and any relevant organizations or agencies to supply information germane to this investigation. I hereby release all parties involved in requesting or providing information for this investigation from any liability or responsibility towards me.


Recognizing my right to request a comprehensive disclosure of the nature and extent of any investigation, I grant permission to any physician or hospital to disclose pertinent information necessary to evaluate my fitness for the current position under consideration or any prospective job should I be appointed.


I UNDERSTAND THAT THIS APPLICATION OR ANY SUBSEQUENT EMPLOYMENT OFFER DOES NOT FORM A CONTRACT OF EMPLOYMENT AND DOES NOT ENSURE EMPLOYMENT FOR ANY SPECIFIC DURATION.