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Email Registration
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Vendor Management System & Services Procurement Beeline
APPLICANT'S CERTIFICATION AND AGREEMENT
I certify that any and all statements that I have set forth in this application are true and correct to the best of my knowledge. I understand that any omission, false statement or misrepresentation by me in this application, my resume or any other materials that I have submitted, or provided during my interviews, is cause for denial of employment or, if I am already employed when the omission, false statement or misrepresentation is discovered, immediate discharge from employment.
I understand that, if hired, I must furnish appropriate documentation to Beeline establishing my identity and employment eligibility. If offered a position by Beeline, I agree to provide it with documents which verify my identity and right to work in the United States within 72 hours of commencing employment.
I represent and warrant that I (a) have not ever been and nor am I currently excluded, debarred or otherwise ineligible to participate in the Federal health care programs defined in 42 U.S.C. Section 1320a-7b(f) (the "Federal health care programs"); (b) have not been convicted of a criminal offense related to the provision of health care items or services; ( c) have not been excluded by the Office of the Inspector General (OIG) from providing services reimbursable under a federal healthcare program such as Medicare or Medicaid; and (d) have not been under, nor have I ever been under, any investigation for exclusion or debarred or am otherwise aware of any circumstances which may result in being excluded from participation the Federal health care programs.
I understand that any employment resulting from this application will be employment at will. This means that Beeline and I have the right to terminate the employment relationship at any time, for any reason, with or without notice. I understand that nothing in this employment application, the granting of an interview for employment, any offer of employment, nor any personnel manuals or forms used by Beeline create an employment contract between Beeline and me. I also understand that this is at will relationship may only be amended or altered by a written agreement signed by an authorized executive officer of Beeline.
I hereby acknowledge that I have read, understand and agree to the above statements.
Candidate Sign Off
I certify that all of the information in this application is true and correct as of this date.
Application Review
