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Answering yes to these questions does not constitute automatic rejection for employment. Date of the offense, seriousness of the violation, and position applied for will be considered.

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, and other related matters as may be necessary for an employment decision. I hereby release all employers, schools, or individuals from all liability when responding to inquires in connection with my application. All applications are subject to a pre-employment drug screening. In the event that I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.