I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if
employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained here in and the references and employers listed above to give you any and all
information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release
the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment
for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an
authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans
with Disabilities Act. (ADA) and other relevant dederal and state laws
