I certify that all matters contained in this application are true, and that any misleading or false statements would render this application void and would be sufficient cause for immediate dismissal in the event of placement. I understand that this is an application for volunteering and that no employment contract is being offered. I further understand that as a condition of volunteering I may be required to submit to a drug test according to CPH/HP standards and if my drug test results are unsatisfactory, I will not be placed by CPH/HP.
I hereby authorize CPH/HP to investigate all matters contained in the application and to contact prior employers to obtain any and all information related to my past work performance.
I agree to abide by all Central Peninsula Hospital's and Heritage Place's rules and regulations.
I have read and understand the above.