Please read and understand this statement before signing your application
The information I have provided in this Application for Employment is true, correct and complete.
False, incomplete or misrepresented information of any kind, will be sufficient cause for my
application to be rejected or, if discovered after I am employed, cause for immediate termination of
I authorize the employer to contact and obtain information about me from previous employers,
educational institutes and “references” I provided, and any other party necessary to verify the
accuracy of information I disclosed in this application, a related employment resume or a personal
interview. To assist in the processing of my Application, I waive all rights and claims I may have
otherwise have against my employer or its representatives, for seeking, and using information to
evaluate my employment request and all other persons, corporations or organizations who provide
the information for this purpose.
This application will expire in 30 days. After the date, unless otherwise notified, I understand my
status of an applicant will end. I may re-apply for employment in the future by completing a new
This application is not an employment agreement. If I accept an offer of employment, I understand
the employer may terminate my employment at any time, with or without cause and without prior
notice, unless required by law. I understand that no one, other than an executive officer of the
employer, has authority to enter into any employment agreement with terms contrary to the
foregoing and then only in writing signed by such officer.
Signature below verifies you have read the above notice and understand what it means.