I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal,  employment, educational, financial or medical history and other related matters as may be necessary for an employment decision. I hereby release employers, schools or persons from all liability when responding to inquiries in connection with my application.

In the even I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.