| I hereby certify that the facts set forth in the above employment
application are true and complete to the best of my knowledge. I
understand that if employed, falsified statements, misleading statements,
or omissions on this application shall be considered sufficient cause for
dismissal. I hereby authorize Community Counseling Center to thoroughly
investigate my references, work records, education and other matters
related to my suitability for employment and further, authorize my current
and former employers to disclose to the company any and all letters,
reports and other information pertaining to my employment with them,
without giving me prior notice of such disclosure. In addition, I hereby
release Community Counseling enter, my current and former employers, and
all other persons, corporations, partnerships and associations from any
and all claims, demands or liabilities arising out of or in any way
related to such investigation or disclosure. I understand that nothing
contained in the application or conveyed to me during any interview which
may be granted is intended to create an employment contract, implied or
explicit, between me and Community Counseling Center. In addition, I
understand and agree that if I am employed, my employment relationship
with Community Counseling Center is strictly voluntary and at our mutual
will. I understand that if employed, my employment is for no definite
period and may be terminate any time, with or without prior notice, with
or without cause or reason, at the option of either myself or Community
Counseling Center, and that no promise or representations contrary to the
foregoing are binding on Community Counseling Center unless made in
writing and signed jointly by the Executive Director and myself. |