Digital Signature *
Please type your full name as a digital signature stating your agreement with the following statement: "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 are grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all info concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for damage that may result from utilization of such info. I also understand and agree that no representative o the company has authority to enter into any agreement for employment for any specific period of time, or to may any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act and other relevant state and federal laws.
