I certify that answers given herein are true and complete to the best of my knowledge. I understand that false or misleading information given in this application or my interview may result in my application being withdrawn from further consideration, or, if hired, my dismissal.
I authorize KSDS Assistance Dogs, Inc. to make such investigations and/or inquiries of my personal employment and/or other relative matters including, but not limited to a drug test and a background check. I hereby release employers, schools, and/or other persons from all liability in responding to inquiries in connection with this application.