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“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 investigation of all
statements contained herein and the references
and employers listed above to give you any and
all information concerning my previous
employment and any pertinent information they
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.
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 (ADA) and other
relevant federal and state laws.” |