"I certify that the facts contained in this application are true and complete to the best of my
knowledge and understand that, if employed, falsified statements on this application shall be ground
for dismissal. I authorize investigation of all statements contained herein and the references and
employers listed above to give you any and all information concerning previous employment and any
pertinent information they may have, personal or otherwise, and release the company from all
liability for any damage that may result from utilization of such information."