ACKNOWLEDGMENT - READ CAREFULLY
I certify that the facts set forth above in my application and any resume I have submitted are true and
correct. I understand that any false statements, misrepresentations, or omissions on this application,
my resume, or any other AHC document shall be considered a sufficient basis for rejection of my
application and for dismissal if hired, regardless of when discovered. In the event of my employment
with AHC, I agree to conform to the rules and regulations of AHC and acknowledge that these rules
and regulations may be changed, interpreted, withdrawn, or added to by AHC at any time, at AHC’s
option and without prior notice to me. I understand that this application will be given every
consideration, but its receipt does not imply that I will be employed. I also understand that if I am
employed, my employment will be at-will, meaning that employment may be terminated by me or
the company for any or no reason, with or without cause, at any time. I further understand that
nothing in this application is to be considered in any way as a contract of employment. I
acknowledge and agree that any statement or representation, whether written or oral, past or present,
which is contrary to my right and AHC’s right to an at-will employment relationship is void and
unenforceable and should not be relied upon in the absence of a written contract of employment
signed by the Chief Executive Officer of AHC.
I hereby authorize AHC to conduct any investigation it deems necessary regarding my application. I
also hereby authorize AHC to gather and to release information about me, together with their opinion
on these matters, without any liability for any damage whatsoever caused either directly or indirectly
by giving or receiving such information or opinions. I authorize any former employer, present
employer, schools, colleges, and universities, personal references and/or any other person or persons,
to disclose to the company any information or opinions they may have concerning me, my character,
or my employment record. I hereby unconditionally release AHC, any former employers, their
agents and employees, and all references listed in this application from any and all claims demands
or liabilities arising out of or related to such investigation or disclosure, including liability arising
from negligence.
I understand that AHC may, in the course of its investigation of my application, obtain an
investigative consumer report on me, as defined in the Fair Credit Reporting Act, and I understand
that such report may include information as to my character, general reputation, personal
characteristics, working skills and abilities, and mode of living. I understand that AHC is required to
furnish to me upon proper request and within a reasonable time, according to the law, the nature and
scope of the investigation.
