I certify that all information I have provided in order to apply for and secure work with this employer is true, complete, and correct.
I expressly authorize, without reservation, the empower, its representatives, employees, or agents to contact and
obtain information from all references (personal and professional), employers, 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 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
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 eliminationg any applicant from consideration for employment on any basis
prohibited by applicable local, state, or federal law.
I understand that this application remain current for only 60 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 fill out
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 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 oral or written agreements
contrary to the foregoing express language are valid unless they are in writing and signed by the employer's
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 that federal immigration laws require me to complete an I-9 Form in this regard.
I understand that resonable safeguards will be taken to protect all personal information provided or obtained
in conjunction with this application for employment. My personal information may be shared with the employer's
affiliate(s) and third parties engaged by the employer to perform services for the employer. Any personal information
shared with an affiliate or third party is to be used solely to perform the services requested by the employer.
This Company does not tolerate unlawful discrimination in it employment practices. No
question on this application is used for the purpose of limiting or excluding and applicant from consideration for
employment on the basis of his or her race, color, religion, age, sex (including pregnancy), national origin, disability,
genetic information, or any other protected status under applicable federal, state, or local law.
I understand that any information provided by me that is found to be false, incomplete,
or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for
employment, or (ii) may result in my immediate discharge from the employer's service. whenever it is discovered.