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"I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment. Also any pertinent information they may have, personal or otherwise I release the company from all liability for any damage that may result from utilization of such information."

This waiver does not permit the release or use of disability related or medical information in a manner prohibited by the Americans with Disabilites Act (ADA) and other relevant federal and state laws. The Silverstar Steakhouse disclaims any liability in this form of any questions or requests for information upon which a violation of local , state and/or federal law may be based. It is the user's responsibility to ensure that this form's use complies with applicable laws, which are subject to change.