Authorization To Release Information
I, the undersigned hereby authorize and request any present or former employer, school, or other persons having personal knowledge about me, to furnish Camarena Health and their agents with any and all information in their possession regarding me in connection with an application for employment. I am willing to acknowledge a photocopy of this authorization be accepted with the same authority as the original, and I specifically waive any written notice from any present or former employer who may provide information based upon this authorized request. I understand this authorization is to be part of the written employment application which I sign.
I grant authorization of my own free will, without threats or coercion and understand that in signing this waiver, I have a right to receive a copy of this authorization.