I certify that the information contained in this submission is correct and true to the best of my knowledge, and understand that providing false information and/or omitting material facts is grounds for refusing to hire me or if hired, grounds for dismissal. I hereby authorize any of the persons or organizations listed in my submission to give 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 submission, and release all such parties from all liability that may result from furnishing such information to you. I understand that should an employment offer be extended to me and accepted, that I will fully adhere to the policies, rules and regulations of employment of the Company.
