General Agreement
I understand that any misrepresentation, falsification, or material omission of information on this application
may result in my failure to receive an offer or, if I am hired, my dismissal from employment. I understand that
all offers of employment are conditioned on my legal authority to work in the United States. In consideration of
my employment, I agree to conform to the rules and standards of the practice, as amended from time to time in
its discretion.
Authorization to check references
I hereby certify that the information contained in this application form is true and correct to the best of my
knowledge and agree to have any of the statements checked unless I have indicated to the contrary. I authorize
the references listed above, as well as all other individuals who you may contact provide any and all
information concerning my previous employment and any other pertinent information that they may have.
Further, I release all parties and persons from any and all liability for any damages that may result from
furnishing such information as well as from the use or disclosure of such information by the employer or any of
its agents, employees, or representatives.
At-will employment relationship
I agree that my employment can be terminated at will, with or without cause, and with or without notice, at any
time, either at my option or at the option of the employer. I understand that no employee or representative of
the practice, other than its owner(s), has the authority to enter into any agreement for employment for any
specified period of time, or to make any agreement contrary to the foregoing. Further, the owner(s) of the
practice may not alter the at-will nature of the employment relationship unless it is done specifically and in
writing that is signed.
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Applicant signature date