I certify that the facts set forth in this Employment Application are true and complete to the best of my knowledge. I understand that if employed, falsified statements on this application shall be considered sufficient cause for dismissal. I authorize Paul Mueller Company to make any investigation of my personal history for information concerning my qualifications for the job. I hereby agree to release companies, institutions and all individuals connected therein, from all liability whatsoever incurred in furnishing such information to Paul Mueller Company. I agree that Paul Mueller Company may furnish like information to those with whom I may seek employment, and hereby agree to release Paul Mueller Company from any and all liability for release of such information. I understand I will be required to comply with the Employment Eligibility Verification, Form I - 9, as required by the Immigration Reform and Control Act of 1986. I understand I will be required, as a condition of employment, to undergo and successfully complete a background check and complete a physical examination, which includes drug screening, to the Company's satisfaction. I understand that failure to provide requested information or refusal to submit to any examination will eliminate me from further consideration for employment.
Do you agree to the terms and conditions above?