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I certify that the answers given here are correct, accurate and complete to the best of my knowledge. I give my permission to examine all the statements I make on this form that may be necessary to make an employment decision. If employed, I understand that any false or misleading information I knowingly provide in this or subsequent interviews may result in termination and/or legal action. I understand that this career history form is not the sole basis on which the hiring decision is made, and I understand that this form will be used in conjunction with multiple interviews and evaluations to determine my suitability for the position I am applying for.

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