In case of accident or emergency, please notify:

The information provided by me in this application for employment is true and complete to the best of my ability. I understand that if I am employed, any false statements will be considered as cause of possible dismissal. You are hereby authorized to conduct any investigation of my personal history and / or credit and financial records employing investigative or credit agencies or bureaus of your choice subject of the provisions of the fair credit reporting act. I understand that I am subject to a pre-employment drug screen as well as periodic at-random drug screens. I hereby acknowledge that failure of any drug screen  is grounds for my immediate dismissal.