Application

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I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct. 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 pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from the utilization of such information.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from the consideration for employment on any basis prohibited by applicable local, state or federal law.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I certify that I have read, fully understood and accept all terms of the forgoing Application Statement.