I certify that the information I have given on this application is true, complete and correct, and I understand that any false information or the omission of information may be considered as sufficient reason for my discharge if appointed. I recognize that completion of this application does not mean that job openings exist and does not obligate the District in any way. Applications will remain active for six months, after which time re-application will be necessary. If appointed my volunteer status will be "at will" and either I or the District is free to terminate the volunteer relationship at any time without cause and without prior notice. This application is not an agreement or a contract for employment. If offered a position and at any time thereafter.

I hereby authorize the District to investigate my employment history with former employers and to make any further investigation deemed necessary in connection with my application for employment, including a criminal history check, driving history check, child abuse clearance check, and other such inquiries. I release the District and all informants from all liability resulting from such inquiries. I waive all rights to see or review the information so furnished.

I certify that I am not now, nor have I ever been excluded from any state or federal health care program. I further understand that if it is determined that I was so excluded; my employment with the District may be terminated.