CERTIFICATION AND RELEASE I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this, application may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reports bureaus, to verify any of this information including, but not limited to, criminal history and motor vehicle records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.
Iunderstandifmyemployment hired, that, terminated at any. time for any reason.
I further understand that this application will only be effective for thirty (30 days and, after that time I will not be considered for employment unless I have submitted another application.