I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application

for employment as may be necessary in arriving at an employment decision. I also authorize credit bureau investigative reports when necessary. I

understand that this application is not intended to be a contract of employment.

In the event of employment, I understand that false or misleading information given in my application or interviews may result in discharge. I understand

that my employment is contingent upon (1) registration with state licensing boards (criminal conviction records will be checked), (2) drug screening results,

and (3) driving record checks. I understand also that I am required to abide by all rules and regulation of the Company. I further agree that if I am employed

by the Company, both the Company and I are free to end the employment relationship at any time.

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