I certify that the answers herein are true and complete to the best of my knowledge. I understand
that false or misleading information given in my application and/or interview(s) is grounds for
refusing to hire me, or for discharge should I be hired. I also authorize investigations of all
statements contained in this application for employment as may be necessary in arriving at an
I understand and agree that I may be required to pass one or more of the following: Physical
examination, drug screen, respiratory evaluation, credit check and criminal record check, as a
condition of hiring or continued employment.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment
relationship with this organization is of an “at will” nature, which means that the Employee may
resign at any time and the Employer may discharge Employee at any time with or without cause. It is
further understood that this “at will” employment relationship may not be changed by any written
documentation or by conduct unless an authorized executive of this organization specifically
acknowledges such change, in writing.
In the event of employment, I understand, also that I am required to abide by all rules and
regulations of the employer.