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"I certify that the information I have provided in this application is true and complete to the best of my knowledge and I understand that one or more falsified statements within this application is grounds for dismissal. I authorize investigation of all statements contained herein and, the references and employers listed within to give you any and all information concerning my previous employment and pertinent information they may have, personal or otherwise, and I release the company from all liability for any damage that may result from use of said information.

I also understand and agree that no representation of the company has any authority to enter into any agreement for employment for and specific period, 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 medically-related information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

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