I hereby certify that the facts and statements made by me on this application are true and correct to the best of my knowledge, information and belief. This information may be used to necessary clearances & references. I certify that I have read and understood the Terms and Conditions of this agreement and realize that failure to comply may result in the termination of my employment with AVICAH Med Staffing. I understand that, if employed, false statements on this application shall be considered sufficient cause for legal action. I AGREE WITH THE ABOVE STATEMENT.