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DISCLAIMER, AUTHORIZATION, AND SIGNATURE
I certify the above stated and indicated are true in fact and no misrepresentation of myself has been made. I understand that any false information, omissions, or misrepresentation of facts will result in rejection from this application and; or discharge at any time during employment period. I authorize Caregivers NW to verify any and all information contained within this application, but not limited to, criminal history and motor vehicle driving records. I authorize Caregivers NW (CGNW) to contact me using the contact information (telephone, email, and address) provided on this employment application. Method of contact may include but is not limited to phone call, video call, conference call, voicemail, text message, email, and; or physical mail.