Employment Authorization

By clicking “I Agree”, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

Understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant and Federal and State Laws.

Lasted updated 7/21/2014

CASCADE HEALTH SERVICE, LLC.