Beginning with your present or most recent experience, list your last 3 employers, assignments or volunteer activity (including military experiences). Continue on the back if more space is needed.

I understand that the receipt of this application does not imply that I will be employed. I certify that the information provided by me in this application is true and complete. I also understand that any falsification, omission or misrepresentation made by me on this application is grounds for refusal to hire, or if hired, termination, regardless of when discovered. I authorize an investigation of all statements contained in this application and authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education or any other information they might have, personal or otherwise, with regard to any subjects covered by this application, and I release all parties from all liability for any damage that may result from furnishing such information to you. I understand that wages, benefits and other terms and conditions of employment may be changed from time to time at the Company’s discretion without prior notice. I acknowledge that the Company reserves the right to amend or modify its policies at any time, without prior notice. I acknowledge that if I am employed by the Company, my employment will be at-will, meaning that it is free to terminate my employment at any time, for any reason, with or without cause, and I have the same rights. I understand that neither this application nor any other document given to me is intended to create, nor should the documents be construed as creating, an express or implied contract of employment for a defined term.