I declare that all statements and answers in this application are true and complete and agree that any untrue or misleading answer, omission, concealment or failure to answer any questions fully, completely and accurately may be grounds for terminating my employment, regardless of when it is discovered. By completing this application, I authorize this employer or its agents to contact my references, to review my former employment record and to keep and preserve records of such contact. Additionally, I release all parties from liability for any damage that may result from furnishing information to this employer or its agents. *