If employed, you will be required to furnish information on age, citizenship clearance through the Department of Justice, freedom from communicable disease, and right to work in this country, if applicable.
I certify that all statements made hereon are true and correct to the best of my knowledge. I understand that any false statements made on this application may be cause for non-employment or for dismissal if employed.
I hereby authorize any investigation to obtain information required by this application.