Reference 1

Reference 2

Reference 3

Employer 1

Employer 2

Employer 3

I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decision and all other persons or organizations for providing such information.I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancelation of this application or immediate termination of employment if I am employed, whenever discovered. If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either the employer or I can terminate therelationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law. I understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within this time shall result in immediate termination of employment.

I acknowledge that I have read and fully understand the foregoing, and certify that the information contained is true and complete to the best of my knowledge.