CERTIFICATION & AUTHORIZATION
The above information is true and correct. I understand that, in the event of my employment by HealthQuest,Inc., I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery.
I hereby authorize all corporations, companies, credit agencies, schools, government agencies, persons, military services, and former employers to release information they may have about me to HealthQuest, Inc. or its agents and employees, and release all persons or companies from any liability or responsibility from doing so. I authorize HealthQuest,Inc. to inquire into my educational, professional, and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to HealthQuest,Inc. and will hold HealthQuest,Inc. and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. Further, I authorize HealthQuest, Inc. to conduct a background check regarding my character, personal reputation, and previous (and/or current) employment history.
I understand that nothing in this employment application, the granting of an interview or my subsequent employment with HealthQuest,Inc. is intended to create an employment contract between myself and HealthQuest,Inc. under which my employment could be terminated only for cause. On the contrary, I understand and agree that, if hired, my employment will be terminable at will and may be terminated by me or HealthQuest,Inc. at any time and for any reason or no reason at all. I understand that no person has any authority to enter into any agreement contrary to the foregoing.
If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.
I hereby acknowledge that I have read and agree to the above statements.