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Round Table Pizza is Proud to be an Equal Opportunity Employer
  

RELEASE AND AUTHORIZATION AND “AT WILL” STATEMENT

I HAVE REVIEWED THE FOREGOING INSTRUCTIONS AND QUESTIONS ON THIS APPLICATION. THE INFORMATION THAT I HAVE SUPPLIED FOR THIS APPLICATION PROCESS IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I HAVE NOT KNOWINGLY MISREPRESENTED OR WITHHELD ANY FACT OR CIRCUMSTANCE AND I UNDERSTAND THAT MISREPRESENTATION OF ANY OF THE ABOVE INFORMATION MAY BE CAUSE FOR TERMINATION.

I ALSO UNDERSTAND THAT IN PROCESSING THIS APPLICATION, A COMPANY REPRESENTATIVE MAY REQUEST THAT AN INVESTIGATIVE CONSUMER REPORT BE PREPARED. I MAY REQUEST THAT THE COMPANY COMPLETELY AND ACCURATELY DISCLOSE TO ME THE NATURE AND SCOPE OF THE INVESTIGATION(S) REQUESTED AND THAT ANY REQUEST I MAKE MUST BE DONE IN WRITING, TO THE COMPANY WITHIN A REASONABLE AMOUNT OF TIME AFTER THIS APPLICATION IS COMPLETED.

I VOLUNTARILY AND KNOWINGLY AUTHORIZE ALL FORMER EMPLOYERS, CORPORATIONS, COMPANIES, CREDIT AGENCIES, EDUCATIONAL INSTITUTIONS, PERSONS, ALL FEDERAL AND STATE AGENCIES, INCLUDING BUT NOT LIMITED TO LAW ENFORCEMENT AGENCIES, FEDERAL HOUSING ADMINISTRATION, AND THE VETERANS ADMINISTRATION TO RELEASE INFORMATION THEY HAVE ABOUT ME REGARDING MY PRIOR EMPLOYMENT, PERSONAL HISTORY AND CREDIT STANDING. I VOLUNTARILY AND KNOWINGLY UNCONDITIONALLY RELEASE THEM FROM ALL LIABILITY RESULTING THE FURNISHING OF THIS INFORMATION. THIS AUTHORIZATION SHALL BE VALID ONE YEAR FROM THE DATE SIGNED AND A PHOTOGRAPHIC OR FAXED COPY OF THE AUTHORIZATION SHALL BE AS VALID AS THE ORIGINAL ONE.

I UNDERSTAND THAT EMPLOYMENT AT THIS COMPANY IS “AT WILL” WHICH MEANS THAT EITHER I OR THE COMPANY CAN TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, WITH OR WITHOUT PRIOR NOTICE, AND FOR ANY REASON NOT PROHIBITED BY STATUTE. ALL EMPLOYMENT IS CONTINUED ON THAT BASIS. I UNDERSTAND THAT NO SUPERVISOR OR MANAGER, OTHER THAN AN EXECUTIVE OF THE COMPANY, HAS ANY AUTHORITY TO ALTER THE FOREGOING.

BY EXECUTING AND SUBMITTING THIS APPLICATION, I CERTIFY THAT I AM GENUINELY INTERESTED IN WORKING IN THE POSITION FOR WHICH I APPLIED AND AM MAKING THIS APPLICATION FOR NO OTHER PURPOSE.