Applicant Statement I certify that the information I have provided in order to apply for and secure work with LaSalle General Hospital is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1)cancel further consideration of this application, or (2)discharge me from LGH service, whenever it is discovered. I expressly authorize LaSalle General Hospital to contact and obtain information from all references, employers, public agencies, licensing authorities and educational institutions to verify accuracy of the information provided in the application, resume’ and job interview, unless otherwise stated above. I understand that if I am hired by LaSalle General Hospital, I am free to resign at any time, with or without prior notice, and LGH reserves the same right to terminate my employment at any time, with or without cause and without prior notice. I further understand that this application does not constitute an agreement or contract for employment. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigrations laws require me to complete an I-9 form in this regard. I certify that I have read, fully understand and accept all terms of the foregoing APPLICANT STATEMENT.