I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed falsified statements, as well as misrepresentations or omissions, on this application may result in termination. I authorize investigation of all statements contained in this application for any employment-related purpose. I release the listed references and all employers except those specifically accepted, to provide you with any and all applicable information they might have. I hereby release these references and former employers from all liability for any information they may give you. Bar 145 subscribes to a DRUG FREE WORK PLACE. You may be required to submit to a drug screen as part of your initial application process.

It is the intent of Bar 145 to keep all information we receive during any background investigation private and confidential. Please read the statement below allowing Bar 145 to verify past employment and information given on this application. I hereby agree to have an assigned Bar 145 representative contact anyone necessary to investigate or verify any information I have given on this application, or to discuss my background, past performance, or my suitability for employment. I further agree to have my work background discussed by and people so contacted, and waive all my rights to bring any action for defamation, invasion of privacy, or any similar cause of action against anyone contacted as a result of what is said about me. I also understand that the information I supply could be checked and that any false statement or omission of fact or facts in connection with this Application for Employment will result in no offer of employment or dismissal from Bar 145 if I am already employed.