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Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge

I authorize investigation of all statements contained in this application as may be necessary in arriving at an employment decision. This employment application shall be considered active until terminated in writing by the applicant or BCA, PLLC. In the event that an employment relationship is agreed to, I understand that false or misleading information given in my application or interview(s) may result in immediate termination or any employment relationship between the employee and BCA, PLLC. I understand that I am required to abide by all rules and regulations set forth by BCA, PLLC. I also understand that any offer of employment may be conditioned upon my participation in a training in-service program and my obtaining a satisfactory score (as determined by the company) on the training examination.