STATEMENT & AUTHORIZATION TO RELEASE INFORMATION
PLEASE READ THIS STATEMENT CAREFULLY BEFORE YOU COMPLETE THIS APPLICATION
I understand that if I am employed, any misrepresentation or omission of material facts on this application is sufficient cause for dismissal. The company, in considering my application for employment, may verify the information set forth on this application and obtain additional information relating to my background. I authorize all persons, schools, companies, corporations, credit bureaus, license or legal enforcement agencies to supply any information concerning my background. I further agree to submit to alcohol and/or drug screening tests, pre-employment screening practices and security interviews and reviews, if requested of me, at any time prior to or during my employment.
Full Name (By submitting your full name you are authorizing the release of information)