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I understand that UGN, Inc. follows an “employment at will” policy, in that UGN, Inc. or I may terminate my employment at any time, or for any reason consistent with applicable state or federal law.  I also understand that this “employment at will” policy cannot be changed verbally or in writing, unless change is specifically authorized in writing by the President or Officer of UGN, Inc. and signed by you and UGN, Inc.’s President or Officer.

I understand that an investigation into my background, which may include checks of state and federal judicial and other public records, both criminal and civil, and, which may include verification of my references and of my Social Security information, will be preformed in connection with my employment with UGN, Inc. and I hereby fully authorize UGN, Inc. and/or any third party organization in connection with UGN, Inc. to conduct any investigations into my background.  I understand that I may request from UGN, Inc. or any third party contracted to conduct this investigation, a complete and accurate disclosure of the nature and scope of the background investigations.

I hereby release UGN, Inc. and any individual or entity employed or contracted with them from any and all claims or liabilities that might arise from the background investigation or the disclosure of such results, including but not limited to claims under any federal, state or local civil rights law and any claims for defamation or invasion of privacy.

I have carefully read the foregoing and fully understand its contents.  I acknowledge that my signing of the authorization is voluntary.

I certify that all statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.

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