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I voluntarily give the Gulf Coast Center the right to make a thorough investigation of my past employment and activities and release from all liability or responsibility all persons, companies or corporations supplying such information.

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I further understand that any false answers or statements made by me on this application or any supplement thereto, or in connection with the above mentioned investigation, will be sufficient grounds for immediate discharge.

The Gulf Coast Center ia an equal opportunity - affirmative action employer and shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, disability, marital status, or national origin unless based on a bona fide occupational qualification.

If you agree to abide by the terms of the above statement, check to box to the left to indicate your agreement.

Community Mental Health, Mental Retardation and Recovery Services Center for Galveston and Brazoria Counties
Administrative Office • 123 Rosenberg, Suite 6 • Galveston, Texas 77550 ••• Mailing Address • P.O. Box 2490 • Galveston, Texas 77553
409.763.2373 • 281.488.2839 • Fax 409.763.5538

24-Hour Crisis Hotline • 866-729-3848