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PLEASE READ BEFORE SUBMITTING

I certify that I have read and understood all of this employment application. I also certify that this application was completed by me and that all information indicated is true and completed to the best of my knowledge. It is agreed and understood that you (the employer) may investigate my background with regards to employment history, whether same is of record or not, and I release employers and other persons named herein from all liability for any damage due of the furnishing of such information. I understand that, as am applicant and if hired, employee, I may be asked to demonstrate that I am capable of performing tasks pertinent to the job.

I also understand that employment is conditional upon the results of drug testing and physical examination. It is also understood and agreed that under the Fair Credit Reporting Act, Public Law 91-508, I have been advised that an investigative Consumer Report (including personal character information, financial and other background information including Criminal record) may be generated.

I understand that errors/omissions and misrepresentations of information/facts may result in rejection and/or dismissal. I further certify that I am in possession of any 1 drivers license and that should at any time receive notification of suspension, revocation or cancellation of such,I will notify employer within 24hrs. This also applies to any violations occurring out of state other than the state of issue.

I understand that my application may be transferred to an electronic filing system, and the original may not be retained.