List below all present and past employment starting with your most recent employer (last five years is sufficient). Account for all periods of unemployment. Your must complete this section even if attaching a resume.
Please read carefully and check the box next to each paragraph
I hereby authorize the company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.