Authorization and Release
I hereby authorize the agency to make a thorough investigation of my past employment, education, criminal history and activities and consent to the release of such information to the agency and its representatives. I further release from all liability all persons, companies and corporations supplying such information and waive any claims that I may have against them arising out of the release of such information. I agree to indemnify and hold harmless the agency and its employees and agents from any loss or expense, including attorney’s fees, which may result from a claim made as a result of making such investigation. I understand that any false answers or statements made by me in this application, during the application process, or in another required document, or my failure to disclose information which would cause such answers or statements to be misleading shall result in the rejection of my application, and, if discovered after my employment may result in my discharge. Additionally, I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the agency and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me and I understand that no such promise or guarantee is binding upon the agency unless made in writing by the agency chief executive officer or administrator. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the agency retains a similar right.