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 you to make such investigations and inquiries of my personal, employment, educational, financial, and other related
matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all
liability when responding to inquiries in connection with my application.
I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment
of my wages and salary, be terminated at any time without prior notice.
I certify that my answers are true and complete to the best of my knowledge.
Please sign this form by typing your full legal name in the space above. All applications require a signature before
being considered for employment.