By submitting this form I agree with all of the following

• I hereby give permission to contact the employers listed previously concerning my prior work conduct and experience.
• I certify that the answers given here are true and complete to the best of my knowledge.
• I authorize investigation of all statement contained in this application for employment as may be necessary in arriving at the employment decision.
• This application for work shall be considered active for a period not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I understand, also, that I am required to abide by all rules and regulations of this employer.
• I also understand by filling out and submitting this form it does not guarantee employment.
• I am aware that if the application process proceeds I will be required to supply Atlantis Industries with my social security number for work eligibility verification purposes before I will be given any work to complete.