Authorization
“I certify that the facts contained in this application are true and complete to the
best of my knowledge and understand that,
if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and
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 also understand and agree that no representation of the company has any authority to
enter into any agreement for
employment for any specified period of time, or to make any agreement contrary to the
foregoing, unless it is in writing and
signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical
information in the manner prohibited by the
Americans with Disabilities Act (ADA) and other relevant federal and state laws.”
