I certify that answers given above are true and complete to the best of my knowledge. I understand that false information on my application or interview may lead to termination. I understand CHC Inc. will contact my references and statements as may be necessary to reach an employment decision. I understand that employment is conditional upon successful completion of a health assessment.

I consent to the collection, use, storage, and processing of my personal and, where applicable, health-related information, including any data I submit on behalf of others, for the purpose of evaluating or fulfilling my request made through this form. I understand this will be handled in accordance with the Privacy Notice.