READ THE FOLLOWING CAREFULLY, THEN SIGN AND DATE THE APPLICATION: I certify that all information I have provided in order to apply for and secure work with Cancer Support Community Montana is true, complete and correct. If any information provided by me is found to be false, incomplete or misrepresented in any respect, it will be sufficient cause to cancel further consideration of this application, or immediately discharge me from Cancer Support Community Montana’s service, whenever it is discovered. I expressly authorize Cancer Support Community Montana and its agents, without reservation, to contact and obtain information from all references, employers, public agencies, licensing authorities, and educational institutions and to otherwise verify the accuracy of all information regarding me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding Cancer Support Community Montana or its agents for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that Cancer Support Community Montana, does not unlawfully discriminate in employment, and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.
