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In connection with my application for employment and as a condition of continuing
employment, I understand that investigative background inquiries may be made on
me with previous employers, schools, criminal convictions, and other reports. These
reports will include information as to my character, work habits, performance, education,
compensation, and experience along with reasons for termination of employment from
previous employers. I authorize without reservation, any party or agency contacted
to furnish the above mentioned information and release and agree to hold harmless
all parties from all liability with regard to furnishing information to HealthLine
Systems. I hereby give my consent for HealthLine
Systems and/or any of their agents to obtain the above information.
This authorization and consent shall be valid in original, fax, or copy form. I
agree to release and hold harmless HealthLine Systems
from all liability with respect to the receipt of such information.
All hiring and employment at HealthLine Systems
is at-will. I understand that acceptance of an offer of employment does not create
a contractual obligation upon HealthLine Systems
to continue to employ me in the future. Employment by HealthLine
Systems has no specific term and may Be terminated by the employee or
HealthLine Systems with or without notice.
I understand I must provide satisfactory documents to establish my identity and
right to work in the United States, if I am offered a position with HealthLine Systems, and that failure to provide this evidence will result in the
termination of my employment.
I certify that the information I have furnished on this application form is true
and complete. I understand that if any misrepresentation has been made by me verbally
or in writing, any offer of employment made to me may be withdrawn or my subsequent
employment with HealthLine Systems may
be terminated.
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