I certify that my answers are true and complete to the best of my knowledge and I have not withheld any fact.

I authorize investigation of all statements contained in this application and further authorize my former employers, government agencies, schools, and personal references to provide any information they have regarding me. I hereby release all employers, government agencies, schools and references from any liability for providing information concerning me.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release and that my employment here is contingent upon a physical exam, background check.

I agree to conform to the rules and regulations of my employer and that my employment and compensation can be terminated with or without cause and with or without notice at any time at the option of either my employer or myself. I understand that no company representative other than the Executive Director has any authority to enter into any agreement for any specified period of time, or make any agreement contrary to the foregoing.

I hereby acknowledge that I have read or had read to me and understand the above statements.