I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and
professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me
in this application, resumé or job interview. I hereby waive any and all rights and claims I have regarding the employer, its agents, employees or representatives, for
seeking, gathering and using truthful and non-defamatory information in a lawful manner, in the employment process and all other persons, corporations or
organizations for furnishing such information about me.
I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or
eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.
I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration
laws require me to complete an I-9 Form in this regard.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me
from further consideration for employment, or (ii) may result in my immediate discharge from the employer’s service, whenever it is discovered.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.