Rehoboth McKinley Christian Health Care Services
 Consent That Information be Furnished


I authorize and instruct Rehoboth McKinley Christian Health Care Services, Inc. (RMCHCS) to obtain information about my employment from my current and any former employers. I authorize my former employers, schools and references to furnish RMCHCS with any information about my employment including impressions and opinions about my work, reasons for termination as well as information requested about my work history, character, honesty and other general qualifications.

I hereby release and discharge RMCHCS and my current and any former employers from all claims or actions for loss, liability, damage or expense which I now have or which may hereafter arise from the making of any inquiries about me, in connection with my application for employment.

I have read and understand the consent page for Rehoboth McKinley Christian Health Care Services.