I certify that the answers given herein are true and complete to the best of my knowledge and I understand that any false or misleading information given in my application or interview(s) is grounds for refusal to hire, or if hired, dismissal. I authorize investigation of all statements contained in this application.  I also authorize any persons, employers, medical facilities or institutions, insurance companies and governmental agencies to release any past medical records or information about me in connection with this application. I understand that, as part of the application process, I may be asked to satisfactorily complete a pre-employment physical examination, including a blood or urine test for drugs or alcohol and that my failure to take or pass such a test will disqualify me from further consideration for employment. I acknowledge that, if hired, my employment may be terminated by me or the company at any time, with or without cause, and with or without prior notice. In consideration for being considered for employment and my employment, if hired, I agree to conform to the rules and regulations of the company and acknowledge that these rules and regulations may be changed, interpreted, withdrawn or added to by the company at any time, at the company's sole option without any prior notice to me.

This application is current for only sixty (60) days. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to fill out a new application.