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Certification and Release
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I certify that I have read and understand the "applicant information" on top of
this form and that the answers given by me to the foregoing questions and the statements
made by me are complete and true to the best of my knowledge and belief. I understand
that any false information, omissions or misrepresentations of facts called for
in this application may result in rejection of my application, rescinding an offer,
or discharge at any time during my employment. I authorize the company and/or its
agents, including consumer reporting bureaus, to verify any of this information
including, but not limited to, criminal history and motor vehicle driving records.
I authorize all persons, schools, companies, and law enforcement authorities to
release any information concerning my background and hereby release any said persons,
schools, companies and law enforcement authorities from any liability for any damage
whatsoever for issuing this information. I also understand that the use of illegal
drugs is prohibited during employment. Furthermore, I understand that just as I
am free to resign at any time, the Employer reserves the right to terminate my employment
at any time, with or without cause and without prior notice and I understand that
no representative of the Employer has the authority to make any assurance to the
contrary.
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