It is understood and agreed upon that any misrepresentation by me on this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. I give the employer the right to investigate all references and to secure additional information about me, if job-related. I hereby release from liability the employer and its representatives for seeking such information, and all other persons, corporations or organizations for furnishing such information. The employer is an equal opportunity employer. The employer does not discriminate in employment decisions and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state or federal law. This application is current for only sixty (60) days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. I understand it is this company's policy not to refuse to hire a qualified individual with a disability because of this person's need for an accommodation that would be required by the ada. Pursuant to the fair credit reporting act, you are hereby given notice that an investigative consumer report may be made in connection with your application for employment. You have the right, within a reasonable period of time, to request in writing a complete and accurate disclosure of the nature and scope of any investigation requested.