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Regulatory, Clinical, and Technical Clinical Trial support
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Personal Information

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Additional Information

 

As a federal contractor, Ke`aki Technologies must comply with FAR clause 52.209-5 to ensure candidates considered for employment are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency. Are you presently debarred, suspended, proposed for debarment, or declared ineligible to perform on a contract by a Federal Agency?

When will you be available to begin work?

Have you ever been employed by the Federal Government, as either a civilian employee or as a member of the military?

 

Have you ever, as an outside consultant or as a private sector employee, assisted the Government in conducting a procurement or administering a Federal contract?

Are you capable of performing, with or without reasonable accommodation, the activities involved in the job or occupation for which you have applied?

Can you travel if the job requires it?

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I <> certify that answers given herin are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary

in arriving at an employment decision.

 

This application for employment shall be considered active for a period of time not to exceed 45 days. Any

applicant wishing to be considered for employment beyond this time period should inquire as to whether

or not applications are being accepted at that time.

 

 I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment

relationship with this organization is of an "at will" nature, which means that the employee may resign at any

time and the employer may discharge the employee at any time with or without cause. It is further understood

that this "at will" employment relationship may not be changed by any written document or conduct

unless such change is specifically acknowledged in writing by an authorized executive of this organization.

 

In the event of employment, I understand that false or misleading information given in my application or

Interview(s) may result in discharge. I understand also, that I am required to abide by all rules and

regulations of the employer.

Candidate Sign Off

I certify that all of the information in this application is true and correct as of this date.

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