I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above. I authorize and consent to, without reservation, any background check, driving record check or any other review permitted or required by federal, state and/or local law, and to complete any requisite authorization forms which may be necessary for this purpose. I authorize and consent to any party or agency contacted by this employer to furnish the above information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state and local law, any party delivering such information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which i may have as a result of the delivery or disclosure of the requested information. i hereby release from liability the Company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information. Further, if hired, i authorize the Company to provide truthful information concerning my employment to future employers and hold the Company harmless for providing it. i understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, i may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement. |