I hereby authorize the CCRC, Inc. to verify the information given in this application, if false, will not be accepted or, if falsification is discovered after employed by CCRC, Inc. may result in termination of employment.
I authorize CCRC, Inc. to verify my past/current employment, activities and background and agree to cooperate and release from all liability or responsibility all persons, entities, and corporations requesting or supply such information. This verification may also include a determination regarding whether I have a criminal record.
All persons and organizations are released from any liability whatsoever, as a result in any verification, criminal records check, inquiry, or investigate report made by or to CCRC, Inc. I hereby authorize Human Resources or designee, former employer, or law enforcement to furnish information concerning me, including but not limited to my character, general reputation, my education, my immediate family, my prior employment, my performance, my references, any criminal conviction record, any motor vehicle record, and any other relevant record, and I hereby release them from any liability or damage whatsoever for issuing such information as requested by CCRC, Inc. in connection with this application for employment.
I understand that it is necessary for CCRC, Inc. to verify my education, previous employment and obtain feedback from my professional references and that a lack of the fore mentioned may result in not enough information to determine eligibility or qualifications for the job position applied for.
I declare under penalty of perjury that all information and statements made in this application are true and correct.