APPLICATION

EMPLOYMENT REFERENCE

By submitting this form, I hereby authorize the company or its representative to contact the people indicated in the current application to confirm the accuracy of the information provided or to obtain personal information concerning me. I also hereby authorize these people to provide such information as to allow the company to evaluate my candidacy. This verification may be done by telephone or in writing, with different educational institutions, previous employers, current employers or people indicated as references in the above list. I hereby release from any liability the people listed as references who provide information concerning me.

I confirm that I have no prior criminal record related to the job applied for, am not currently involved in any such criminal proceedings and have not been the subject of any such investigation.

I hereby declare that the information provided is accurate and that any untrue information or omission is just cause to reject my candidacy.

*  I confirm that I consent to the above.

* Security code
(Type the security code in the field below)