PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK BEFORE SIGNING. I certify that all answers and statements I have made on this application (and accompanying resume or other supplementary materials, if any) are true and complete. I understand that any false or misleading information or omissions will disqualify me from further consideration for employment and may lead to my immediate discharge from employment if discovered at a later date. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character and qualifications. I understand that if hired, I will be responsible for familiarizing myself with all rules, regulations, and policies of Marie Mills Center as they presently exist or are later modified. I recognize that my employment can be terminated, at the discretion of Marie Mills Center or at my option, without notice, except as specifically set forth in writing in a current individual employment agreement signed by the Department Head. I also understand that no representative of Marie Mills Center has any authority to enter into any employment agreement for any specific period of time, or to assure me of any future position, benefit, or terms and conditions of employment, except as specifically stated in a current individual written agreement signed by the Department Head. have completed (filled out) this application myself. I have read, understand, and agree with the above statements. I also understand that I will not be considered for employment if this application is incomplete. I understand that any verbal or written statements, either made by me or others at my request, which may be false, fraudulent or misleading that are contained in this application, any other documents I may complete (i.e. medical information, employment information, etc.) or made at any time during the course of my employment, may result in rejection of my application, denial of employment, or dismissal if discovered after employment. Furthermore, under some circumstances, such action may result in prosecution of a crime. * I certify that all statements are true and complete whether made by me or others at my request. * I understand that if hired, I must prove that I am legally authorized to work in the United States. * I understand that I will be asked to submit to a pre-hire drug test, pre-work screen, and criminal history background check as a condition of employment. * I release Marie Mills Center and all providers of information from any liability as a result of furnishing and receiving any information related to Marie Mills Center's hiring process. I fully understand and agree to the conditions stated in this "Certification and Signature" document