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Any material misrepresentation or deliberate omission of fact may be justification
for
refusal to hire or transfer or termination from Duke University / Duke University
Health System.
After completing the form make sure to print a copy of the form for your records.
Also you MUST print a copy of the Signature Page, sign it and return it with your
supporting documentation to your
sponsoring department. Also, you MUST click the
"Submit to Department" button. Send everything to your school contact.
If you have any questions or problems, please contact the sponsoring school.
Click here if you understand and accept these instructions.
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