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Certification and Acknowledgement

I certify that the information provided herein is true and correct to the best of my knowledge. I understand that, if employed, falsified statements on the Application for Employment form will be considered grounds for termination.

I authorize the company to thoroughly investigate my work experience and any other matters related to my suitability for employment. I further authorize my former employers to disclose to the company, my former employers, and all other persons any claims, demands, or liabilities arising out of - or in any way related to - such disclosure.

I acknowledge that, if employed, both the company and I have the right to terminate the employment relationship at any time, with or without cause or advanced notice. This employment-at-will relationship will remain in effect throughout my employment with the company and may not be modified by any oral or implied agreement.