I certify the information contained in this application for employment is true to the best of my knowledge and belief. I understand that any omission of facts or misrepresentation is cause for denial of employment and/or dismissal (if hired) regardless of when discovered. I grant permission for the authorities of Community Medical Center to investigate my work references and release them and any former employer from any and all liability resulting from such investigation. Upon my termination, I authorize the release of reference information on my work. I agree to submit to a post-offer physical, including drug and/or alcohol screening and recognize employment is contingent upon successfully meeting physical requirements. I further agree that if I've been convicted of a crime, the authorities of Community Medical Center may obtain details of my conviction to determine its relationship to the position I am applying for as a condition of my employment. In consideration of my employment, I agree to conform to the rules and regulations of Community Medical Center. My employment may be terminated, with or without cause, at any time, at the option of Community Medical Center or myself.