Employment Disclosure

I certify that answers given herein are true and complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given on my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer of this position.

In addition, I understand that this application will be considered for this opening only, I must reapply to be considered for other openings. I am applying for employment with the company listed as the employer and I understand that the employer has a need to ask my prior employer(s) about my performance and conduct on the job and may verify education and certification records as needed for this job opening. I also understand that my prior employer and schools have a legitimate interest in providing this information in response to this application. I understand that the employer and/or their representative intends to contact my prior employers and/or schools to obtain information regarding my work related performance and conduct. I authorize my prior employers and schools (and their agents) to provide this information and I agree to hold them harmless and release them from any claims, including claims for defamation, for providing this information to the employer and/or their representative. I authorize investigation of all statements contained in this application for employment and/or attached resume and cover letter as may be necessary in arriving at an employment decision.

I understand and acknowledge that, unless otherwise defined by applicable law, any employment relationships with this company is of an "at will" nature, which means that if I am employed I may resign at any time and the company may discharge me at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the company.