This institution does not discriminate in hiring or in any other decision the basis of race, sex, citizenship, national origin, ancestry, age, religion, marital status, handicapped status, or status as a disabled veteran unlreated to the ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination.

I voluntarily give this institution the right to make a thorough investigation of my past employment and activities, agree to cooperate in such investigation and release from all liability or responsibility all persons, companies or corporations supplying such information. I consent to take the physical examination and such future physical examinations as may be required by this institution at such times and places as the institution shall designate. I understand that an offer of employment may be continent on passing the physician examination, which related to the essential duties I would be required to perform.

I understand that my employment is at will and that either party if free to terminate the employment relationship at any time without cause. I also understand that my employment may be terminated for any misstatement or omission of fact appearing on the application form. 

If employed, I will be required to complete an Employment Verification Form (i-9) and within three days show satisfactory evidence of identity and eligibility of employment.