I verify that the information contained in this Application for Employment is true, and I authorize the Company to seek references from my current and former employers, as indicated by my signature below. I understand that omitting or falsifying information on this application will disqualify me from further consideration for employment. I agree to submit to physical examination, drug and background screening as required by the Company. I further agree that, if hired, either the Company or I may terminate our relationship at will, with or without notice and for any reason. This Application for Employment will be current for sixty days. A new application must be completed if I wish to be considered for employment after that time.