"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
I also understand and agree that no representative 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 a manner prohibited by the Americans with Disabilities Act (ADA) and
other relevant federal and state laws."
The law prohibits discrimination in hiring due to age, race, color, creed, sex, national
origin, religion, disability, or veterans status.