I certify that the information supplied by me in this application is true and I understand that any misrepresentation or the omission of any material facts shall be sufficient grounds for rejection of this application or for my discharge at any time during my employment. I certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with Value Village and for no other reason. I authorize the company to verify and investigate, at its discretion, the habits, job performance, educational background, reputation, personal characteristics and mode of living whether same or written account of furnishing said information. I acknowledge that I have read this notice in compliance with Public Law 91-508 printed above. (For Driver candidates only - If I am offered employment, I consent to undergo a physical examination, which will include a drug/alcohol screening, and hereby authorize the examining physician and any laboratories to release the results of the examination to Value Village) If I am offered and accept employment with Value Village I agree to conform to the rules and regulations of Value Village. I understand that my employment and compensation can be terminated, with or without cause and without notice, by either the company or myself. I understand that no manager or representative of Value Village has authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing. I agree that a photocopy of this signed application shall have the effect of the original.