![]() ![]() I hereby release and hold harmless all parties from any liability or damage that may result from furnishing said information to you. I hereby authorize all previous employers or educational institutions to provide you with any and all information concerning my previous employment, educational, or personal history. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I understand that in connection with my application for employment an inquiry into my background may include but not limited to, an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. I understand that regardless of the available hours I have listed on this application or the hours I may be scheduled to work, the company is not guaranteeing or promising to accommodate or continue to accommodate my request(s) and my hour and/or days I am scheduled to work and may be changed by the employer at any time. I understand and agree that any deliberate falsification or omission of relevant information contained in this application is grounds for immediate dismissal, in accordance with Company policy. ![]() TO THE EMPLOYER: I hereby certify that all of the information contained in this application is true, correct, and complete, to the best of my knowledge. ![]()
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