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Community Hospital Anderson?

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Applicant Contact Information
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Volunteer Experience
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Education History
I certify the statements on this application are true and correct to my knowledge. I certify that I am not currently debarred, excluded, or otherwise ineligible for participation in federal health care programs. I understand that falsification, misrepresentation, or omission of information requested on this application will result in immediate dismissal, regardless of the date of discovery. I understand the Network will make a thorough investigation, including a criminal history investigation, of my entire personal history and may verify all data given in my application. I authorize such investigation and the giving and receiving of any information required by the Network. I release from liability any person giving or receiving such information now or in the future. I understand falsification of data given or derogatory information discovered as a result of this investigation may prevent my being accepted as a volunteer, or, if accepted, may subject me to immediate dismissal. I understand that my volunteering depends upon satisfactory references and successful completion of a physical examination and meeting all Network requirements. I also acknowledge and understand this application is not a contract of employment, and that if I am accepted as a volunteer, I will be an at-will volunteer and may voluntarily leave my volunteer position upon proper notice. I understand that my volunteer position may be terminated at any time for any reason. I acknowledge that no written or oral statements or promises have been made to or relied upon by me regarding the length of my volunteer position or the reasons for which my volunteer position can be terminated. If accepted as a volunteer, I agree to abide by and conform to all rules, policies, and procedures of Community Health Network.
****For applicants under the age of 18, parent or guardian signature is required under applicant signature in below box to signify permission for applicant to become a member of the Community Health Network volunteer program.