I certify that my answers are true and complete to the best of my knowledge. I authorize you to make sure investigations and inquiries of my personal, employment 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 in responding to inquiries in connection with any application.

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