BACKGROUND CHECK CONSENT
AUTHORIZATION AND ACKNOWLEDGEMENTSI affirm that the information I have provided in this application is true and best to my information and belief, and I have not knowing withheld any information requested. I understand
that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge.
I authorize the company to verify my references, record of employment, education record and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences
with them, without giving me prior notice of such disclosure. In addition, I release the company, former employers and all other person and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure.