As an equal opportunity employer, this company’s policy as well as federal and state law, prohibits discrimination in employment based on race, color, religion, sex, national origin, physical handicap or age with respect to individuals who are at least 18 years of age.

I certify that I am a U.S. citizen, and legally eligible to work in the U.S.

As part of this application for employment, I hereby authorize the company to investigate my references and to make an independent investigation of my character, conduct and employment records.

I further agree that failure to reveal any prior employer or the giving of false or misleading information by me will be grounds for termination of my employment.