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I certify that the information given herein and attached hereto is true, accurate and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of information provided herein (and attached hereto) and other matters related thereto as may be necessary, and I release Natives Serving Natives LLC and its representatives and/or the Company and its directors and other employees from all liability in connection with such acts. I hereby release those individuals providing information from all liability for any damages resulting from furnishing and receiving information. I understand that this application is made for Natives Serving Natives LLC and its related entities' selection of candidates for business, corresponding to applicants to insurances for medical liability, in recognition of its unique selection process, with application for employment. I understand that false, misleading, or inaccurate information in the application or interview may result in disqualification, withdrawal, revoked reading results, if housed, or hired can be subject to termination regardless of time, position or history. If I am hired, I agree that if hired, my employment at will. I may be discharged at any time, with or without notice or for a definite reason or for no reason. I further understand and agree that all my duties and assignments, if hired, may be assigned to other facilities from time to time. I agree that I understand my agreement and, I filling in this application as stated above, shall constitute a condition of employment and at-will employment. I understand that by signing this application I am authorizing you to contact the individuals I have identified as references and former employers for information concerning my employment history and performance. I understand that this application will be considered active for a period of time not to exceed 90 days. I understand that if I wish to be considered for employment beyond this 90-day period I must inquire whether applications are being accepted at that time, and if so, must submit a new application. I understand that this application does not constitute a contract of employment. I understand that any job offer may be contingent upon the successful completion of background and/or reference checks or procedures previously explained to me or otherwise at its discretion without notice. I further understand that this application will be active for 90 days and that if I have not heard from the Company within that time period, I must apply for further consideration.
Natives Serving Natives LLC is an Equal Opportunity Employer (6/25)
