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As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to supply your birth certificate or other proof of authorization to work in the United States or sign a conflict of interest agreement and abide by its terms.

I understand and agree to the information shown above. I also understand and agree that, if hired, my employment is at will. I understand that, if hired, my employment is for no definite period of time. I may terminate my employment at any time, and I may be dismissed at any time without prior notice for any reason or for no reason. *