APPLICANT'S
STATEMENT
AUTHORIZATION
"I certify that the facts
contained in this application are true and complete to the best of
my knowledge and understand that, if employed, falsified statements
on this application shall be grounds for dismissal.
I authorize investigation of all
statements contained herein and the references and employees 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 also 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 authorized company representative."
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