"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 any
liability for any damage that may result from utilization of such information.
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."