I certify that all information I have provided in order to apply for and secure work with the employer is
true, complete and correct.
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) cancel further consideration of this
application, or (ii) immediately discharge me from the employer's service, whenever it is discovered.
I expressly authorize, without reservation, the employer 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 have regarding the employer, its agents or representatives for seeking,
gathering and using such information in the employment process and all other persons, corporations or
organizations for furnishing such information about me.
I understand that the employer does not unlawfully discriminate in employment and no question on this
application is used for the purpose of limiting or excusing any applicant from consideration for
employment on a basis prohibited by applicable local, state or federal law.
I understand that this application remains current for only 30 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 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 without prior
notice, and the employer reserves the same right to terminate my employment at any time, with or
without cause and without prior notice, except as may be 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 president. I also understand
that if I am hired, I will be required to provide proof of identity and legal authority to work in the United
States and that federal immigration laws require me to complete an I-9 Form in this regard.