By signing and submitting this document, you are assuring that all of the information stated is accurate to the best of your knowledge. You are also acknowledging that any fraudulent information identified will result in the prospective candidate being ineligible with Twin Cities Health Services. All information herein is held in the strictest confidence. Information may not be used, disclosed, copied, sold, loaned, reviewed, altered or destroyed except as properly authorized by the appropriate official within the scope of applicable federal or state laws, including record retention schedules and corresponding policies. This obligation of nondisclosure or unauthorized use continues indefinitely even after the relationship ends by all parties.