If Yes, Please Provide the Following Information:
I certify that all information provided by me is true, accurate and complete. I understand that falsification, misrepresentation, or omission of fact on this application or any other accompanying or required documents will be cause for denial of employment or immediate termination of employment, regardless of how or when it is discovered.
I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying information, and I also release the employer from all liability that might result from conducting an investigation.