Answers to the above are true, and any misrepresentation will constitute sufficient cause for rejection of my application, or dismissal in the event of employment. I understand that after I have received a conditional offer of employment, I will be required to take a medical exam/drug test and nicotine test, and successfully pass the elements of the tests that are job-related and consistent with business necessity. I also understand that all information obtained during this medical exam will be treated as a confidential medical record and will be maintained in a separate file for this purpose. I authorize TRS Wellness to contact previous employers, schools, and professional references to obtain any and all information which TRS Wellness considers relevant to the evaluation of my application for employment. I hereby give consent to any and all prior employers of mine, or current employer, to provide information with regard to my employment with the prior or current employers to TRS Wellness and to perform a background check, credit report, social security number verification and MVR check and I release from liability all persons and corporations supplying such information. Should I be employed by the company, I authorize its representatives to furnish information regarding my employment at the company if such information is requested in the future. I release the company from any liability for any damage whatsoever resulting from furnishing this information. I agree that if I am employed by TRS Wellness, during and after such employment, I will not disclose or otherwise use any proprietary or confidential information that comes into my possession during the course of my employment with respect to products, supplies, customers, patients or otherwise. I understand and agree that my employment with TRS Wellness, if hired, will be “at will”. By typing your name below, you are stating that you agree with all of the information above.