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I VERIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION FOR EMPLOYMENT IS TRUE, AND I AUTHORIZE THE COMPANY TO SEEK REFERENCES FROM MY CURRENT AND FORMER EMPLOYERS, AS INDICATED BY MY ACCEPTANCE BELOW. I UNDERSTAND THAT OMITTING OR FALSIFYING INFORMATION ON THIS APPLICATION WILL DISQUALIFY ME FROM FURTHER CONSIDERATION FOR EMPLOYMENT. I AGREE TO SUBMIT TO A PHYSICAL EXAMINATION, DRUG AND BACKGROUND SCREENING AS REQUIRED BY THE COMPANY. I FURTHER AGREE THAT, IF HIRED, EITHER THE COMPANY OR I MAY TERMINATE OUR RELATIONSHIP AT WILL, WITH OR WITHOUT NOTICE, AND FOR ANY REASON. THIS APPLICATION FOR EMPLOYMENT WILL BE CURRENT FOR ONLY SIXTY DAYS. A NEW APPLICATION MUST BE COMPLETED IF I WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME.