This application will be actively considered for six months after tis filed. For consideration after that time a written request for reactivation is required authorize an inquiry to be made on the information contained in this application Upon written request the nature and scope of this inquiry will be made available to me Former employers named herein are authorized to give information regarding me. They are hereby released from al liability for issuing such information understand and agree that my employment relationship at any time, with or without cause and with or without advance notice.