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I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE; I
UNDERSTAND THAT THE FALSIFICATION, MISREPRESENTATION OR OMISSION OF FACT
ON THIS APPLICATION (OR ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS)
WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF
EMPLOYMENT, REGARDLESS OF WHEN OR HOW DISCOVERED.
It is the policy of Lourdes University to afford equal opportunity to all employees and applicants for
employment without regard to age, race, religion, color, sex, sexual orientation, national origin,
genetic information, marital status, expunged juvenile records, or pregnancy. It is the policy of
Lourdes University to afford equal opportunities to disabled veterans, veterans of the Vietnam era,
and individuals with a disability, any and other characteristic protected by Federal, State or Local law.
I authorize the investigation of all statements and information contained in this application. I release
from all liability anyone supplying such information and I also release Lourdes University from all
liability that might result from making an investigation.
I acknowledge that I have read and understand the above statements and hereby grant permission to
confirm the information supplied on this application by me.
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