I certify that all information I have provided, to apply for and secure work with this employer, is true complete and correct.

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I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain
information from all references (personal and professional), employers, public agencies, licensing authorities and educational
institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview.
I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for
seeking, gathering and using truthful and non‐defamatory information in a lawful manner, in the employment process and all
other persons, corporations or organizations for furnishing such information about me.

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I understand that this employer does not unlawfully discriminate in employment and no question on this application is used
for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by
applicable local, state or federal law.

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I understand that this application remains current for 180 days. After 180 days, if I have not heard from the employer and still
wish to be considered for employment, I understand it is my responsibility to inquire as to whether applications are being
accepted at that time.

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If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the
employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior
notice except as may be required by law. This application does not constitute an agreement or contract for employment for
any specified period or definite duration I understand that no supervisor or representative of the employer is authorized to
make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express
language are valid unless they are in writing and signed by the employer’s president.

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I understand I may be required to successfully pass a pre‐employment drug and/or alcohol test as a condition of employment
I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United
States of America and that federal immigration laws require me to complete an I‐9 Form in this regard.

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I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will
be sufficient cause to (1) eliminate me from further consideration for employment, or (2) may result in my immediate
discharge from the employer’s service, whenever it is discovered.