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 Premier Surgical Associates that such employment with Premier is at will, for no specified duration and may be terminated by either Premier or me at any time, with or without cause or notice.
I hereby authorize any and all schools, former employers, references, courts and any others who have Information about me to provide such information to Premier and/or any of its representatives, and I release all parties involved from any and all liability for any and all damage that may result from providing such information.
BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.