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APPLICANT'S
STATEMENT
AUTHORIZATION
I ("Applicant") verify that the statements I have made on this application are true, complete and correct. I understand that any misstatement of material facts will be grounds for disqualifying Applicant from further consideration, or, if hired, will be grounds for discharge.
I authorize any person, organization or company listed on this application or acting on behalf of this organization or company to furnish any and all information concerning my previous employment, education and qualifications for employment and release such parties providing said information from any liability for releasing such information. I also authorize you to request and receive such information.
I further understand that nothing on this application is intended to create or imply a contractual relationship. If hired, I understand that employment is at-will and may be terminated by Applicant or the company at any time with or without reason. I further acknowledge that any offer or acceptance of employment may be withdrawn at any time with or without cause and with or without prior notice at the option of the company or me.
Finally, 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 that is contrary to the foregoing. I further acknowledge that I have been advised that this application will remain active for no more than 90 days from the date submitted.
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