| By typing your full name
electronically and clicking the Submit Application
button below you certify the following:
I
voluntarily and knowingly authorize any former
employer, person, firm, corporation, school or
government agency, its officers, employees and
agents to release to the co-op any and all
information concerning me except that which would
indicate age, race, sex, religion or natural origin.
Further, I release all these parties from liability
for any damage, except that resulting from
misrepresentation which might result from furnishing
this information. I certify everything on this
application is true, correct and complete without
misrepresentations or omissions of any kind
whatsoever and any falsification of information will
be grounds for termination of employment. If hired,
I can provide evidence of my right to work in the
United States. |