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* Star Nursing invites you to voluntarily complete these sections as we are required by law to report the information provided to the government.
7 Year Employment History (Beginning with most recent)
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Employer:
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I hereby certify that the information contained in this application is true and correct to the best of my knowledge, and authorize the company to verify any of the statements or information provided herein. I also authorize Star Nursing to review any credit reports, Department of Motor Vehicles records and criminal records concerning me. I further authorize Star Nursing to contact the references listed regarding my past and current employment. I understand that any misrepresentation or falsification, or material omission of information on this application may result in my failure to receive an offer or, if hired, my dismissal from employment.
Furthermore, Star Nursing may share all employment documentation with clients, subsidiaries, customers, affiliates, and government agencies and send me employment opportunity related information at fax numbers or email addresses listed in this application.
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I agree that I am submitting this document electronically and
have typed my name in the Signature Line above and dated
in lieu of an original .signature and
hereby authorize Star Nursing and its affiliates to utilize the submitted documents for the purposes noted on this release and on other Star Nursing documents.
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