Authorization
"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 herein 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 ender 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 federal and state laws."
By entering your name and the current date below, you are
certifying you have read and agreed to the above authorization.
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