STATEMENT OF CERTIFICATION
I hereby certify that this application contains no willful misrepresentation of falsification and that the information given by me is true and correct to the best of my knowledge. I understand that should investigation reveal any misrepresentation or falsification, such findings could result in rejection of my application or in immediate termination of my employment. I authorize all previous and current employers to give any and all information concerning my employment and other pertinent information they may have, personal
or otherwise, to this company and release all parties from any and all liabilities from any damages which may result from the furnishing of such information. I understand and
agree that if hired my employment is for no definite period of time and that I may, regardless of the date of payment of wages or salary be terminated at any time without prior
notice. If I am accepted for employment with this company, I agree to comply with supervisory instructions and to abide by its personnel policies and also to immediately report to my supervisor any and all job-related injuries and illnesses regardless of severity.