I certify that the information contained in this application is correct to the best
knowledge. I understand that to falsify information is grounds for refusing to hire
for discharge should I be hired.
I authorize any person, organization or company listed on this application to
you any and all information concerning my previous employment, education and
qualifications for employment. I also authorize you to request and receive such
In consideration for my employment, I agree to abide by the rules and regulations of
the company, which rules may be changed, withdrawn, added or interpreted at any
at the company’s sole option and without prior notice to me.
I also acknowledge that my employment may be terminated, or any offer or acceptance
of employment withdrawn, at any time, with or without cause, and with or without
prior notice at the option of the company or myself.