Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge, and understand that, if employed, falsifed statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained in this application. I also understand and agree the no representive of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representitive.

This waiver does not permit the release or use of the disability- related or medical information in a manner prohibited by the Americans With Disabilities Act (ADA) and other relevant federal and state laws.