I hereby authorize Mercy NursingCare Services. to request, and also authorize each former employee, firm, or person given as a reference, to answer all questions that may be asked, and given all information that may be necessary in connection with this application or concerning my work habits, character, or skill.
I also certify to the best of my knowledge that the information given on this application is accurate to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal.
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