AUTHORIZATION

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false statement or material omission of any of the information being requested will result in the rejection of my application or, if employed, be grounds for my dismissal.

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 the Company from all liability for any damage that may result from utilization of such information.
I understand I will be provided with a separate disclosure and authorization form in compliance with the Fair Credit Reporting Act (FCRA) if a consumer report is obtained.

I also understand that if employed, my employment will be as an at-will employee and that either I or the Company may
terminate my employment at any time, with or without prior notice or cause. I further understand and agree that no representative of the Company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized Company
representative.