Pre-Employment Statement
(please read carefully before indicating that you agree below)

I understand and agree that:

1. The information that I have provided on this application is true and complete to the best of my knowledge. Any misinterpretation or omission of any fact on my application, resume, and/or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from Green Country Behavioral Health Services, Inc./Muskogee County Head Start (GCBHS/MCHS). I further state that I have withheld nothing that would, if disclosed, affect my application unfavorably.
2. I authorize GCBHS/MCHS, in connection with this application, to make such personal, employment, police, OSBI, and/or any other entity inquiries as the agency deems necessary in arriving at an employment decision.
3. I authorized and request that all of my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all damages arising from furnishing the requested information.
4. Any offer of employment I may receive from GCBHS/MCHS is contingent upon my successful completion of any post-offer employment health exams (including screening for tuberculosis) that the company may require. I understand that as a condition of employment, I may be required to undergo and successfully pass a screening for drugs and/or alcohol. I, hereby, consent to having the results of any post-offer employment health exams I may be required to take disclosed to Human Resources.
5. In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of the company and understand that my employment and compensation can be terminated with or without cause or notice, at any time, at the option of either the company or myself. I further understand that no manager, supervisor, or representative of the company, other than the Human Resources Manager, has any authority to enter into any agreement with me for employment for any specified period of time or to make any agreement different from or contrary to the foregoing. I further understand that any such agreement, if made, shall not be enforceable unless it is in writing and signed by me and the Human Resources Manager.
6. I agree to furnish to GCBHS/MCHS, upon presentation of this application, all licenses, transcripts, registration, and/or other documents required by GCBHS/MCHS related to my education, experience, and or position for which I am applying.