Block-Masthead

I hereby authorize the Employer to investigate all statements made in this application, contact all references, and secure additional information about me. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations, or organizations for furnishing such information.

I certify that the information provided in this application is true, complete, and correct to the best of my knowledge. I understand that any misrepresentation or omission may be grounds for rejection of my application or termination of employment.

I understand that this application will only remain active for a period of three months.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract of employment. Accordingly, either the employer or I can terminate the relationship at will, with or without cause, at any time, so long as there is not a violation of applicable federal or state law.

If hired, I agree that the value of any advance payment, property issued to me, or other debt I owe my employer shall be due upon termination of my employment and may be deducted from wages or other payments owed to me at the time of my termination of employment.

I hereby acknowledge that I have read and understand all the foregoing statements, and that I seek employment under these conditions.

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