I certify that all information I have provided in order to apply for child care positions with Prairie Lakes Church is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from child care service, whenever it is discovered. I expressly authorize, without reservation, Prairie Lakes Church, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, and licensing authorities and to otherwise the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding Prairie Lakes Church, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations, or organizations for furnishing such information about me.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT. I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.