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Authorization
"I understand that
the foregoing is a preliminary questionnaire and that, prior to being
considered for employment, I will be required to complete an application.
I certify that the facts contained
in this true and complete the best of my knowledge and understand
that, if employed, falsified statements on this questionnaire
shall be grounds for dismissal.
I authorize investigation of all
statements contained herein and the employers (if checked yes)listed above to
give you any and all information concerning my previous employment
and any pertinent information they may have, personal or otherwise,
and I release the company from all liability for any damage that
may result from utilization of such information.
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.
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