Disclaimer & Authorization
By submitting this form, I certify that the information contained in this application is correct tot he best of my knowledge and understand that falsification of this information is grounds for refusal to hire, or, if hired, dismissal. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application. I authorize you to request and receive such information in consideration for my employment and my being considered for employment by your company.
I agree to conform to the rules and regulations of the company and acknowledge that these rules and regulations may be changed, interpreted, withdrawn, or added to by your company at any time, at the company's sole discretion and without any prior notice to me. I further acknowledge that my employment may be terminated, and any offer of employment, if such is made, may be withdrawn, with or without cause, and with or without prior notice, at any time, at the option fo the company or myself.
I understand that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to assure or make some other personnel move, either prior to commencement of employment or after I have become employed, or to assure any benefits or terms and conditions of employment, or to make any agreement contrary tot he foregoing. I acknowledge that I have been advised that this application will remain active for no more than 180 days from this date.