PLEASE READ CAREFULLY BEFORE PROCEEDING

I certify that the information given in this application is true and complete to the best of my knowledge. Any misrepresentations or

deliberate omissions of information may be justification for refusal of employment, or termination if employed.

The information I have supplied in the application is is subject to verification. Individuals, schools and employers are authorized

and released from liability when providing UHS or its agents with any information required to render an employment decision.

Applications, which provide unsolicited information, will not be processed.

PLEASE READ CAREFULLY BEFORE PROCEEDING

I certify that the information given in this application is true and complete to the best of my knowledge. Any misrepresentations or

deliberate omissions of information may be justification for refusal of employment, or termination if employed.

The information I have supplied in the application is is subject to verification. Individuals, schools and employers are authorized

and released from liability when providing UHS or its agents with any information required to render an employment decision.

Applications, which provide unsolicited information, will not be processed.

• * First Name:
• * Last Name:
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