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I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.
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No
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Additional Info
Education and Skills
Please list all education beginning with the most recent. Indicate a diploma or degree, if completed including GED if obtained.
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Education and Skills Continued
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Please read carefully and sign- I certify the above statements are correct. I understand that my false information (or omissions) in the application, or its supporting documents, will be sufficient grounds for refusal to hire me or termination without notice. I agree that all rules, orders and regulations of the Board of Directors affecting my employment shall constitute a part of my appointment or employment. I further understand that Community Health Center of Central Missouri has the right to review my education, previous employment, driving and criminal records and other background data. This application will be considered valid for 6 months from date signed.
I agree to the above.
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