*Please read carefully before signing*
I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery. I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Four County Mental Health Center that such employment is at will, for no specified duration and may be terminated by either Four County MHC or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of Four County MHC or its representatives used during the employment process is deemed a contract of employment real or implied. In consideration for employment with Four County MHC, if employed, I agree to conform to the rules, regulations, policies and procedures at all times and understand that such obedience is a condition of employment. I understand that due to the nature of Four County MHC business, attendance and punctuality are considered essential requirements of every job, and that poor attendance or tardiness will result in disciplinary action. I understand that if offered a position with Four County MHC, I may be required to submit to a drug screening and background check as a condition of employment. I understand that unsatisfactory results from refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed. I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Four County MHC and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.