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All information is required to submit application
Provide the following information of your past and current employers, starting with the most recent. Explain any gaps in employment in the comments section below.

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete, and correct. 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 terminate the application process or employment. I expressly authorize, without reservation, the employer and its representatives to contact and obtain information from all references, employers, public agencies, licensing authorities, and educational institutions, and to otherwise verify the accuracy of all information provided by me in this application, resumé, and/or job interview. I hereby, waive any and all rights and claims I may have regarding the employer and its representatives for seeking, gathering, and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration of employment on basis of sex, marital status, race, age, creed, national origin, or the presence of disabilities.

If I am hired, I understand that this application does not constitute an agreement or contract for employment for any specified period or definite duration. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 form in this regard.

I certify that I have read, fully understand, and accept all terms of the foregoing Applicant Statement.

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