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Instructional Aide, Nursing
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Applicant's Statement

I certify that all information provided herein is true and complete to the best of my knowledge. I certify that the information given by me in this application is true, correct, and complete. I understand that if any of the information provided is discovered to be false, incorrect, or misleading, or if there are misrepresentations or omissions it shall be cause for Mid-State Technical College to deny me employment or to terminate my employment once I am employed. 
 
I authorize investigation of the statements I have made in this application. I authorize any party, including companies, schools, agencies, or persons, to give any information requested by Mid-State Technical College to evaluate my application, background, credentials, and qualifications for employment. I release all companies, schools, agencies, and persons from any liability that may result from providing, obtaining, or acting upon such information. A photocopy or facsimile copy of this authorization is as valid as the original. 
 
I also understand that my employment at Mid-State Technical College is contingent upon the satisfactory result of a drug screen and background check. 
 

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