I certify that, to the best of my knowledge, the answers given are true and complete and that purposeful misrepresentation may result in rejection of my application. I authorize investigation of all statements contained in this application, as required. Additionally, I authorize former employers, references and any other individual/organizations to provide information to BellVue Health, PLLC and I hereby release and discharge any of the above and BellVue Health, PLLC from any liability of any kind or nature. I also understand that it is my responsibility to keep such information current and accurate by updating it as often as necessary. I understand that employment, for all positions, will be conditional upon successful completion of a criminal background check and upon hire I will need to provide a valid driver’s license/state issued ID.