Application Form

APPLICANT’S STATEMENT
I affirm and certify that all the information and answers to questions herein are complete, true, and correct to the best of my knowledge and belief. I understand that any misrepresentation, falsification, or omission of any facts called for in the application may render this application void and will be cause for termination, whenever discovered. I authorize the companies to conduct any investigation it deems appropriate concerning my application. I hereby authorize and request former employers, personal references, schools, government agencies, and all other persons, and organizations, criminal record, employment dates and salary and any other information that may be sought in connection with this application.

I hereby release all the above mentioned from all liability in connection with those disclosures. I further authorize the companies to disclose to others any information it may have concerning my employment, character, and qualifications, including information gained from this application and the investigation of this application. I herein release the companies from all liability in connection with those disclosures. As a condition of my hiring, I understand I must complete a preemployment drug screen and criminal background check. I understand this type of employment is “employment at will” for the purposes of this agreement. If employed, I agree to acquaint myself with and to abide by all rules, regulations, policies, and procedures of the companies. I acknowledge and agree that the companies have the absolute unfettered right to change its rules, regulations, instructions, policies, procedures, practices, benefits, or compensation arrangements unilaterally, at any time, without prior notice. I understand and agree that no person, except a managing partner or managing officer of the company has the authority to bind the company or enter into an agreement with me regarding the duration of employment or any terms of my employment. I further agree that no such agreement will be enforceable unless in writing and signed by the Vice President of Human Resources and Personnel of the company. I have read the above statements, I understand them, and I agree to them. I understand that I am being employed at the employers will and may be dismissed at any time without any notice, cause, or reason. I understand and agree that all these terms are reasonable, fair, and acceptable to me.