I certify that all information on my application and any other materials provided by me are true and complete and understand that falsified information, misrepresentation or omissions will disqualify me from consideration for employment and will be considered justification for dismissal whenever discovered. I understand, also, that I am required to abide by all the rules and regulations of STAT/SOUTHCOAST EMS/COASTLINE EMS. 

Unless otherwise noted, I authorize STAT/SOUTHCOAST EMS/COASTLINE EMS or its agent to check with all persons, schools, current or previous employers and organizations named in the application process to provide STAT/SOUTHCOAST EMS /COASTLINE EMS with any relevant information that may be helpful ni arriving at an employment decision which may include but is not limited to the following:

Employment Background 

Position/Title 

Commendations

Reference Check

Driving Record/Background Check

I hereby release and will hold STAT/SOUTHCOAST EMS/COASTLINE EMS and any individual company or entity named in the application process, harmless from any and all liability in connection with obtaining information. 

In addition to the above statement, I understand that if I am hired I will be considered an "at-will" employee. This "at-will" nature means that I may resign at any time and that STAT/SOUTHCOAST EMS / COASTLINE EMS may discharge me at any time with or without cause. It is further understood that this "at-will" employment relationship may not be exchanged by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of STAT/SOUTHCOAST EMS/COASTLINE EMS.