I certify that I have read and understand the applicant note on Page 1 of this form and that the answers and statements given by me or complete and true to the best of my knowledge and belief. I understand that any false information, omissions, or misrepresentations of facts called for in this application may result in rejection of my application or discharge at anytime during my employment. I authorize the company, James A. Rogers, Inc., and/or it's agents to verify any of this information including, but not limited to criminal history and motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release said persons, and hold non-liable for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs/substances is prohibited during employment. If the company requires, I am willing to submit to drug testing to detect the use of illegal drugs/substances prior to and during employment.