I hereby affirm that all information in this application is true and accurate to the best of my knowledge. I understand that you
can obtain criminal history record information on applicants for employment. Pursuant to the requirements of the Fair Credit
Reporting Act, notice is given that a consumer report+ may be made in connection with your application for employment. I understand
that any misrepresentation or falsification of this record or failure to disclose conviction for a felony or for any offense involving moral
turpitude will be considered cause for dismissal.
If you are denied employment, either wholly or partly, because of information contained in a consumer report, a disclosure will be
made to you of the name and address of the consumer-reporting agency making such report.
Signature below verifies you have read the above notice and understand what it means.