I hereby affirm that the information provided on this application
(and accompanying resume, if any) is true and complete. I
understand that any false or misleading representations or omissions
made on the application or during the hiring process may disqualify
me from further consideration for employment and
may result in discharge regardless of date discovered.
I hereby authorize persons, schools, my current
employer (if applicable) and previous employers and
other organizations to provide this facility and
its affiliates with any requested information regarding my
application or suitability for employment.
I completely release all such persons or entities from any and
all liability related to the providing or use of information.
I authorize, without reservation, any party or agency to furnish
information regarding my previous
employment history, educational qualifications and background
information, including criminal
background investigations. I release all such persons or organizations from liability regarding the
information they provide.