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I understand that any employment by this facility will be on a 90-day evaluation trial period. If employed by Franklin County Rehabilitation Center, I agree to abide by its rules and regulations. The above information is complete and true to the best of my knowledge. I understand that discovery or misrepresentation or omission of facts herein will be cause for immediate dismissal. I authorize this facility to contact any and or all of my references for full information. If I am offered employment, I agree to have a physical examination prior to working at the request of this facility. I agree that the examining physician may disclose the findings to this facility or an authorized agent of this facility.