CERTIFICATION - I certify the answers given by me to the foregoing questions and any statements made by
me are complete and true to the best of my knowledge and belief. I understand that any
false information, omissions, or misrepresentations of facts regarding information called for in this application may
result in rejection of my application, or discharge at any time during my employment. I also agree that, if company policy
requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment. I
understand that if I am hired, my employment shall be “at-will,” and that either the Company or I can choose to terminate
the employment relationship for any reason, or no reason at all, with or without notice.
 

AUTHORIZATION - I understand that background, drug, or medical testing may be conducted on me as part of
the process to determine my fitness for employment, and hereby agree to submit to such
testing. I authorize all persons, schools, companies, medical practitioners, current and/or former employers, and law
enforcement authorities to release any information concerning my background or test results, and hereby release any
said persons, schools, companies, medical practitioners, current and/or former employers, and law enforcement
authorities from any liability for any damage whatsoever for issuing this information.