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I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment consideration, and if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, law enforcement agents and other individuals and organizations to investigators, personnel staff, and other authorized employees of the Oregon Ministry Network for employment purposes. This consent shall continue to be effective during my employment if I am hired. I certify that to the best of my knowledge and belief all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith.
5745 Inland Shores Way NKeizer, OR 97303503.393.4411