PLEASE READ THIS STATEMENT CAREFULLY
I hereby affirm that the information given by me on this application for employment is complete and accurate, to the best of my knowledge. I understand that any falsification or omission will be immediate grounds for dismissal. I authorize a thorough investigation to be made in connection with this application concerning my character, general reputation, employment, education background and criminal record, whichever may beapplicable. I understand that this investigation may include, and I hereby authorize the release of documents, and personal interviews with third parties, such as prior employers, family members, business associates, financial sources, friends, neighbors or others with whom I am acquainted. I further understand that I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of the nature and scope of the investigation.It is understood that, as a condition of initial or continued employment, I agree to submit to such lawful examinations, medical, substance abuse or other, as may be required by the Company. The Company will pay the reasonable costs of any such examination that may be required.If I am hired, I agree that my employment and compensation can be terminated with or without cause and without notice, at any time, at the option of Korns Galvanizing Company, Inc. and myself.I have read and affirm as my own the above statement. If signing electronically, I am agreeing that the electronic signature is the legal equivalent of my manual signature on this page.