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Please read carefully before submitting your application I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest that the answers given by me are true and correct to the best of my knowledge and ability. I understand that any omission, including any misstatement of material fact on this application or any reference or document secured can be used as a grounds for rejection of my application for employment or, if employed, terms for my immediate termination from employment. I understand that if I am employed, my employment can be terminated at any time with or without prior notice by either me or the company. I permit the company to examine my references, records of employment, education records and any other information that I have provided. I authorize references that I have submitted to disclose any information related to my work record and my professional experiences with them without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons, corporations, partnerships and associations from any & all claims, demands, liabilities arising out of or in any way to such examination or revelation.