I hereby certify that the information I provided, to the best of my knowledge in this document are true. If an offer of employment is extended to me I understand that: any information found to be false, or if background investigation identifies any serious criminal offenses or major motor-vehicle infractions, resulting in criminal convictions, may be cause for my dismissal or denial of future employment with Tidewater Medical Transport, Inc. I hereby authorize, Tidewater Medical Transport, Inc. to investigate any information I provided in this document including, but not limited to: a National Criminal Background Check, Sex-Offender Registry, Motor-Vehicle Report (MVR), & a ten-panel Drug Screening. Furthermore, I understand that if I am hired, my employment with Tidewater Medical Transport, Inc. is at will and both employee/employer have the right to terminate employment, for any reason, without any prior notice and is not prohibited under State, Local, or Federal Laws.