I certify that the information I have provided to the Company as part of this application along with any other materials submitted by me for employment consideration is true, complete, and without omissions or misleading statements. I understand that my employment may be terminated because of false, misleading, or omitted information, regardless of the time that may have elapsed between furnishing the information and the discovery by the Company.
I authorize the Company to inquire into my education, professional and past employment history with references as needed to determine my qualifications and suitability for employment. I hereby give my consent to any former employer or educational institution to provide academic or employment related information about me to the Company. This includes any pertinent information they may have, personal or otherwise, and I release all parties from all liability for any damage that may result from furnishing this information.
I consent freely and voluntarily to participate in a required background check, and consent to the release of the results to the Company. I hereby release and hold harmless the Company from any liability whatsoever arising from a background check and the decision concerning employment based upon the results.
A photocopy, digital and/or electronic copy of this authorization is as effective and binding as the original. If hired, I agree to conform to rules, regulations, and policies which the Company may periodically issue, withdraw or modify.
*I understand and agree to the above disclosure statement.