AFFIDAVIT, CONSENT TO BACKGROUND INVESTIGATION, AND RELEASE PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING

I certify that all information provided in this Application for Employment is true, accurate and complete. I understand that any false information or omission of information may disqualify me from consideration for employment, and may result in my dismissal if false or omitted information is discovered at a later date after I am hired. I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers, and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. If I am extended a job offer, understand the offer will be a Conditional Offer of Employment. I will be required to successfully pass a drug and alcohol screening examination. I hereby consent to a pre-employment and/or post employment drug and alcohol screening as a condition of employment. I understand that if I am extended a Conditional Offer of Employment, it may be conditioned upon successfully passing a post-offer of employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my ability to perform the position for which I am applying. I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT, NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD. SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I WILL BE AN EMPLOYEE AT WILL, AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE. I have read, and understand this affidavit. My signature demonstrates consent to these terms, conditions and requirements. I attest that all information I have included in this Application for Employment is complete, accurate, and truthful.