I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by Elixir Web Marketing, terms for my immediate expulsion from Elixir Web Marketing.
I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or Elixir Web Marketing.
I authorize Elixir Web Marketing to examine and solicit information regarding my character, general reputation, credit, previous employment and similar background information and to contact all of my references. I hereby authorize and release all parties and persons connected with any such request for information from all claims, liabilities and damages for any reason arising out of the furnishing of such information. If employed I release Elixir Web Marketing from any liability for future references it may provide regarding my work history at Elixir Web Marketing. I understand that an investigative consumer report may be obtained through personal interviews with my neighbors, friends or associates. If I am refused employment on the basis of such report I have a right, upon written request from me within a reasonable time, to complete and accurate disclosure of the nature and scope of the investigations requested by Elixir Web Marketing. I release Elixir Web Marketing, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.