*Please read carefully before signing*
I hereby certify that all of the information provided in order to apply for and secure work with this employer is true, complete and correct.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all
references (personal and professional), employees, public agencies, licensing authorities and educational institutions and to otherwise verify
the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may
have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory
information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such
information about me.
I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose
of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.
I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and
still wish to be considered for employment, it will be necessary for me to reapply and complete a new application.
If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice and the employer reserves
the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required
by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I
understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied or
written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employerís president.
I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and
federal immigration laws require me to complete an I-9 Form in this regard.
I understand that any information provided by me that is found to be false, incomplete ore misrepresented in any respect, will be sufficient
cause to eliminate me from further consideration for employment, or may result in my immediate discharge from the employerís service,
whenever it is discovered.