Employment Application

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified information on this application shall be grounds for dismissal. I authorize the investigation of all statements contained herein and the employers listed above to give any and all information concerning my previous work history and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from the utilization of such information. I agree, should I not submit at least one (1) week's notice upon departure from the company, my rate of pay for the last pay period will be reduced to minimum wage. I also understand and agree that no representative 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 representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.