I certify that answers supplied by me, the applicant, to the foregoing questions and statements are true and correct. I understand that any offer of
employment is contingent upon satisfactory proof of identity and legal authority to work in the U.S. I agree to a post offer/pre-employment physical
examination. I also understand that if hired, my employment may be terminated at the will of either my employer or me. I also authorize North Kern -
South Tulare Hospital District to contact my present and past employers, schools, references and other sources deemed appropriate to consider my
application. I hereby release them and North Kern - South Tulare Hospital District from any and all liability for issuing, receiving or using any such
information. All facts stated in the application or resume submitted are open to investigation. I understand that any false or misleading information or any
material omission may result in the denial of a job offer, or if hired, my termination from employment. Upon termination of employment, I authorize the
release of reference information on my work, and release North Kern - South Tulare Hospital District, as well as its employees, agents and
representatives from any and all claims that may have as a result of such release or disclosure. I agree that if employed, I will abide by the philosophy
and all policies and procedures established by North Kern - South Tulare Hospital District. I understand that my application will not be considered if
received without a signature