I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for my dismissal after employment.

I authorize and request all persons, businesses and organizations to release any requested information to Troy Lanes related to verification of employment, academic achievement, licenses, general background and personal character. All information will be propriety and kept confidential and will not be provided to any parties other than representatives of this Company. I am aware that I have the right to request the nature and scope of the results and preparation of any reports concerning myself or my background. I authorize a Photostat of this release to be considered as effective and valid as the original.

I understand that I may be asked to submit to a drug test as a condition of employment.

I understand and agree, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice.

I have read or had read to me this release form and I understand, consent and agree to authorize the execution of this release in full by my digital signature on this date.

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