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I certify that the information contained in this application is correct to the best 

of my 

knowledge. I understand that to falsify information is grounds for refusing to hire 

me, or 

for discharge should I be hired. 

I authorize any person, organization or company listed on this application to 

furnish 

you any and all information concerning my previous employment, education and 

qualifications for employment. I also authorize you to request and receive such 

information. 

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the company, which rules may be changed, withdrawn, added or interpreted at any 

time, 

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of employment withdrawn, at any time, with or without cause, and with or without 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.