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I hereby affirm that the information I have provided is true and correct. I authorize investigation of all statements in this application including reference verification, a written request for information from the previous employer, the requirement to supply a birth certificate or other proof of authorization to work in the U.S., and a physical examination as may be necessary for arriving at an employment decision. In the event I have misrepresented or omitted any fact on this application and is subsequently hired, I am fully aware that I may be discharged from the job. I understand AHHHC may require a physical examination, fingerprinting or background check investigation and TB testing at any time, and I agree to such procedures. I also agree that the examining physician may disclose to AHHHC or its representatives the results of such exams.

I hereby understand and acknowledge that, unless otherwise defined by the applicable law, any employment relationship with this organization is "AT WILL" in nature, which means that the Employer may discharge the Employee at any time with or without cause. It is further understood that this "AT WILL" employment may not be changed by any written document or by conduct unless such change is specifically acknowledged in a writing or authorization by an officer in the organization.

In the event of employment, I understand that false or misleading information provided in my application may result in my immediate termination. I also understand that I am required to abide by the rules and regulations provided by the employer.