Please list three references, two which can be previous employers, none of which can be relatives.
Please list the last three jobs you have held and provide and explanation of your duties and responsibilities.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specific period of time, or make any agreement contrary to foregoing unless it is in writing and signed my authorized company representative.