All information provided in this form, my resume and cover letter, and information presented during an interview process is truthful to the best of my knowledge. I understand falsification of any of this information or omission of any pertinent information may disqualify me from employment and/or will constitute grounds for dismissal. If employed, I agree to undergo medical examinations or drug testing should they be required, which are relevant to the position for which I have applied, including medical examinations that may be required in accordance with the company’s group benefit plan requirement.
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