By submitting this application online to Community Healthcare Center, I certify that the facts set forth in my student application I have submitted are true and correct. I acknowledge that this is an application for student related studies, such as Clinicals, Internships, Externships, Shadowing and Preceptorships, and that this is not an application for employment. I understand that any false statements, misrepresentation, or omissions on this student application, or any other Center document shall be considered a sufficient basis for rejection of my student application. I agree to conform to the rules and the regulations of the Center at any time and acknowledge that these rules and regulations may be changed, interpreted, withdrawn, or added to by the Center at any time, at the Center’s option and without prior notice to me. I understand that this application will be given every consideration, but its receipt does not imply that I will be given the rights to fulfill my student requirements at Community Healthcare Center. I hereby authorize the Center to conduct any investigation it deems necessary regarding my student application. I authorize any employer, schools, colleges, and universities, personal references and/or any other person or persons, to disclose to the company any information or opinions they may have concerning me, my character, or my employment record. I hereby unconditionally release the Center, any former employers, their agents and employees, and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure, including liability arising from negligence. I understand and give permission to Community Healthcare Center to perform a civil and criminal background check and drug screen to further evaluate my candidacy for enrollment in its student program.