The above information is true and correct. I understand that, in the event of my employment by this employer, I shall be subject to dismissal

if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested,

regardless of the time elapsed after discovery.

I authorize this employer to inquire into my education, professional and past employment history references as needed to research my

qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to this

employer and will hold this employer and my former employer harmless from any claim made on the basis of such information about me

which was provided or that any employment decision was made on the basis of such information. I further authorize this employer to obtain

any credit, consumer check, or legal background check. I understand that a placement medical examination, based on the requirements of

the position for which I am being considered, may be required and a pre-employment drug test may also be required.

I understand that nothing in this employment application, the granting of an interview or my subsequent employment with this employer is

intended to create an employment contract between myself and this employer which my employment could be terminated only for cause. On

the contrary, I understand and agree that, if hired, my employment will be terminable at will and may be terminated by myself, or this

employer at any time and for any reason. I further understand that this “at will” employment relationship may not be changed by any

written document or by conduct unless, such a change is specifically acknowledged in writing by an authorized executive of this organization.

This employment application shall be kept active for 45 days. Beyond 45 days, applicants must inquire if applications are being accepted and

may need to reapply.

If employed, I will be required to provide original documents, which verify my identity and right to work in the United States under the

Immigration Reform and Control Act (IRCA) if 1986. The document(s) provided will be used for completion of Form I-9.

Note: Your Social Security Number will be required for consideration.