Give the names of three persons not related to you whom you have known at least one year.
I CERTIFY THAT THE ANSWERS GIVEN BY ME TO THE FOREGOING QUESTIONS AND STATEMENTS AND IN ANY INTERVIEW ARE TRUE AND CORRECT WITHOUT MATERIAL OMISSIONS OF ANY KIND WHATSOEVER. I AGREE THAT THE COMPANY SHALL NOT BE LIABLE IN ANY RESPECT IF I AM NOT HIRED OR IF MY EMPLOYMENT IS TERMINATED BECAUSE OF FALSITY OF STATEMENTS, ANSWERS OR OMISSIONS MADE BY ME IN THIS APPLICATION. I ALSO AUTHORIZE COMPANIES, SCHOOLS OR PERSONS TO GIVE ANY AND ALL INFORMATION REGARDING MY EMPLOYMENT, CHARACTER AND QUALIFICATIONS, TOGETHER WITH ANY INFORMATION THEY HAVE REGARDING ME WHETHER OR NOT IT IS IN THE RECORDS. I HEREBY RELEASE SAID COMPANIES, SCHOOLS OR PERSONS FROM ANY AND ALL LIABILITY FOR ANY DAMAGE OR INJURY TO ME ARISING OUT OF THE RELEASE OF SUCH INFORMATION. I UNDERSTAND THAT ANY MISLEADING OR INCORRECT STATEMENTS MAY RENDER THIS APPLICATION VOID, AND IF EMPLOYED WOULD BE CAUSE FOR TERMINATION. I UNDERSTAND THAT I MAY BE REQUIRED TO UNDERGO A PRE-EMPLOYMENT PHYSICAL EXAMINATION AND/OR DRUG TEST AS A CONDITION OF EMPLOYMENT. I UNDERSTAND THAT ANY FALSE ANSWERS OR STATEMENTS MADE BY ME IN THE PRE-EMPLOYMENT PHYSICAL EXAMINATION AND/OR DRUG TEST, WHETHER BY OMISSION OR OTHERWISE, WILL BE SUFFICIENT GROUNDS FOR IMMEDIATE DISCHARGE IF I AM EMPLOYED. I AGREE TO WEAR PROTECTIVE CLOTHING OR DEVICES AS REQUIRED BY THE COMPANY AND TO COMPLY WITH ALL SAFETY RULES. I WILL COMPLY WITH ALL RULES AND REGULATIONS OF THE COMPANY. I UNDERSTAND THAT MY FAILURE TO COMPLY WITH ALL RULES AND REGULATIONS OF THE COMPANY WILL SUBJECT ME TO DISCIPLINE, UP TO AND INCLUDING DISCHARGE.
