I affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I understand that falsified information or omissions may disqualify me from further consideration for appointment and may be considered justification for removal if discovered at a later date.
I authorize an Oakland County representative to contact individuals or organizations listed as references or previous employers on this application. Additionally, I authorize a search of the Office of Inspector General’s exclusions database to ensure I have not been excluded from participating in any federal health care programs.
I understand that typing my name in the signature box below creates an electronic signature that has the same validity as actually signing the form and either faxing it back or mailing it back via the U.S. Postal Service.