In consideration of my application, I authorize Deal-Rite Feeds Inc. by and through QPI to verify all data given by me on application, related paper or oral interviews. I understand a thorough investigation may be conducted which may include but not be limited to criminal history, motor vehicle driving record, education verification, employment history, credit report and personal history. I hereby authorize employers, agencies personal references and other persons with whom I am acquainted to answer all questions and release all information concerning my employment record, character, reputation, ability, education, military service, credit history, and other applicable reports. Furthermore I release all agencies, bureaus, employers, information service organizations, and individuals or companies named above from all liabilities or damages that might result from information provided in good faith. I state that the information provided by me on my application is accurate and I agree that if any information therein is found to be false at any time, my application may be discarded or my employment terminated. I understand that the information requested below regarding sex, race, and date-of-birth are for the sole purpose of gathering the above information accurately and will not be used to discriminate against me in violation of the law*. A facsimile (FAX) or photograpy of this authorization shall be as valid as the original.
*QPI fully complies with the Fair Credit Reporting Act and the ADA.