The facts set forth above are true and complete. I hereby authorize investigation of all statements contained in this application and full disclosure of my present and prior work record. I understand that employment is contingent upon this investigation and, if employed, false statements in this application shall be considered sufficient cause for dismissal. I hereby release All Island Plastering LLC and any prior employer from any obligation to provide me with written notification of such disclosure and hereby release them from any liability for any statements made and/or documents released. I understand that the documents released may include a record of disciplinary action assessed by the company or previous employers. I understand that certain positions offered with All Island Plastering LLC may require a pre-employment physical examination by a company designated physician and that this physical is a part of the employment process.