I certify that all information I have provided in this application is true and complete, I understand that any false information or omission may disqualify me
from further consideration for employment and may result in my dismissal if discovered at later date. I understand the employer may
request an investigative consumer report from a consumer agency. This report may include information as to my character, reputation, personal characteristics and mode of living obtained from neighbors, friends, former employers, schools, and others. I understand I have a right to make a
written request within a reasonable time for the disclosure of the name and address of the consumer-reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation. I authorize the investigation of any or all statements contained in this application and also
authorize any person, school, current employer (except as previously noted), past employers, and organizations named in this application to provide relevant information and opinions that may be useful in making a firing decision. I release such persons and organizations from any legal liability in
making such statements. I understand that this application or subsequent employment does not create a contract of employment nor guarantees employment for any definite period of time. If employed, I understand that I have been hired at the will of the employer and my employment may be terminated at
any time, with or without cause and with or without notice. I have read, understand, and my signature consents to these statements.