I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand
that false or misleading information in my application or interview may result in my release.
I authorized investigation of all statements contained herein and the references and employers listed above 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. I understand that if I'm offered employment, I will be required to Sign and Date this printed form.
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