Completeness and accuracy of information: I certify that all of the statements and information given now or hereafter given by me, in support of my application for apprenticeship, is true and complete to the best of my knowledge.I understand that any false or misleading information will disqualify me from consideration for Membership/ Apprenticeship or subject me to immediate dismissal from the apprenticeship program at any time throughout my apprenticeship.
Authorization and release of information: I authorize Millwright Local 1163 to verify any of the information given, during the application process, with appropriate individuals, companies, organizations, or agencies and I authorize them to release such information as required, including my prior disciplinary record and drug test results, without any obligation to give me written notice of disclosure. I hereby release the Millwright local 1163 from any liability whatsoever as a result of such inquiries and disclosures. A photocopy of or other electronic reproduction of this authorization is binding and may be relied upon.
I acknowledge that I have read, understood, and accepted the above statement in its entirety, and have had the opportunity to ask questions regarding any aspect of this application and that I accept the above terms.