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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.
This application for employment shall be considered active for a period of time not to exceed 180 days. If I
wish to be considered for employment beyond this time period, I understand that I need to inquire as to
whether or not applications are being accepted at that time.
I understand that neither this document nor any offer of employment from the employer constitutes an
employment contract unless a specific document to that effect is executed by the employer and me in
writing.
In the event of employment, I understand that false or misleading information given in my application or
interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and
regulations of the employer.
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