1. The information given in this application is given of my own free will and accord and is true and correct to the best of my knowledge and belief. I understand that my responses to all questions on this application and during the entire application process are being relied upon by CED Mental Health in making its hiring decision. Any material misrepresentation or deliberate omission of requested information in my application may be justification for refusal of, or if employed, termination from employment.

2. An incomplete application will not be considered.

3. This is my express permission for CED Mental Health to contact prior employers to obtain any and all information related to my past work performance. It is my understanding that CED Mental Health will make a thorough investigation of my work and personal history and may verify all data given in my application for employment, related papers or oral interviews.

4. My employment may be terminated by CED Mental Health at any time without liability for wages or salary except such as may have been earned at the date of such termination.

5. Although management makes every effort to accommodate individual preferences, business needs may at times make the following conditions mandatory: overtime, shift work, a rotating work schedule or a work schedule other than Monday through Friday.

6. I understand that if offered employment, my employment may be contingent upon the results of a physical examination at the request of CED Mental Health. I consent to such an examination and to the release of the information from the examination to CED Mental Health. I also consent to submit to periodic physical examinations or blood tests as an employee of CED Mental Health.

7. All job applicants of CED Mental Health undergo testing for the presence of illegal drugs as a condition of employment. Any applicant with a confirmed positive test result will be denied employment. CED Mental Health will not discriminate against applicants for employment because of a past history of drug abuse. Therefore, individuals who have failed a re-employment test may initiate another inquiry with CED Mental Health after a period of no less than six months, but must present themselves drug-free.

I further understand that this is an application for employment and that no employment contract is being offered.

I understand that if I am employed, such employment is for an indefinite period of time and that CED Mental Health can change wages, benefits and conditions at any time.