I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision and I hereby agree to indemnify and hold harmless each a11d every current or prior employer in defending against any charge, complaint or suit filed with any Federal, State or local agency, or in any court of the State or Federal government for providing an accurate, factual history of employment information.
I certify that all of rny answers given here are true and complete to the best of my knowledge, and that supplying false information herein shall result in immediate disqualification for consideration for employment or termination from employment, regardless of when such false information is discovered.