Please read the following carefully:

I understand that due to the nature of the work performed by this company, my employment is at their will. That my employment with the company is for no specific or definite period of time and may, regardless of time and method of payment of my wages and salary, be terminated at any time by this company or me with or without cause and without any previous notice.
I hereby declare that the above information is complete and accurate to the best of my knowledge and belief. I agree that my employment is based on the facts that I have given and any intentional misrepresentation or omission on my part will constitute grounds for my dismissal and may also bar me from collecting workers compensation. Any investigation into my employment background may also be conducted.

If hired, I can submit verification of my legal right to work in the United States.

I will also authorize and give full written permission for the company's doctor and/or his associates during either consideration for employment or during employment, to send a specimen of my urine to a laboratory for screening tests for the presence of narcotics, marijuana, drugs and amphetamines (so called uppers, etc) and authorize these results to be given to the company.

I, the undersigned have read the above and foregoing notice and understand the same. I hereby authorize authorize the above company to investigate and verify the facts stated by me in this application.

I certify that the information given by me is true. If employed, I agree to abide by the company's rules and safety rules and to work in a safe manner at all times while employed by this company.