Please Read and Initial Each Paragraph
I certify that I have not purposely withheld any information
that might adversely affect my chances for hiring. I attest
to the fact that the answers given by me are true & correct
to the best of my knowledge and ability. I understand that
any omission (including any misstatement) of material fact
on this application or on any document used to secure can be
grounds for rejection of application or, if I am employed by
this company, terms for my immediate expulsion from the
company.
I understand that
if I am employed, my employment is not definite and can be
terminated at any time either with or without prior notice,
and by either me or the company.
I permit the company to examine my references, record of
employment, education record, and any other information I
have provided. I authorize the references I have given to
disclose any information related to my work record and my
professional experiences with them, without giving me prior
notice of such disclosure. In addition, I release the
company, my former employers & all other persons,
corporations, partnerships & associations from any & all
claims, demands or liabilities arising out of or in any way
related to such examination or revelation.