APPLICANT MUST READ AND SIGN
I certify that I have read and understood all of this employment application. It is agreed and understood that the
employer or his agents may investigate my background to ascertain any and all information of concern to my employment
history, whether same is of record or not, and I release employers and other persons named herein form all liability for any
damages on account of furnishing such information.
I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I capable of
performing tasks which are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a
physical examination and drug test.
I further certify that I am a genuine applicant for employment and this application is being submitted solely for the
purpose of seeking employment with the employer and for no other reasons.
It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508; I have been told that this
investigation may include an investigative Consumer Report, including information regarding my character, general reputation,
personal characteristics, and mode of living.
I agree to furnish such additional information and complete such examinations as may be required to complete my
I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.
If hired, I agree to abide by all the rules and policies of the employer.
This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to
the best of my knowledge.