Employment Application

I authorize investigation of all statements contained herein and the 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 certify that my answers are true and complete to the best of my knowledge and understand that, if employed, falsified statements in my application or interview shall be grounds for dismissal.