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I certify that the information given herein is true and complete to the best of my knowledge. I authorize to make such investigations and inquiries of the information provided herein, and other matters related hereto, as may be necessary. 

I hereby release employer, schools, and other persons, institutions or businesses from all liability in responding to inquiries in connection with my application. 

I understand that false or misleading information given in my application or during interviews may result in a refusal to hire, or discharge in the event of employment.  

I further acknowledge and consent to the use of my contact information given above so that I may be provided with information relating to potential job openings now and in the future and that I may remove myself from such further informational postings at anytime. 


Additionally, I authorize Protech Staffing Services, Inc. to contact my previous employers concerning my employment and personal character and hereby authorize my past employers to respond to verbal and written requests from Protech Staffing Services, Inc. 

I hereby release Protech Staffing Services, Inc. and my past employer from any liability and damages incurred as a result of furnishing this information.

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