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Date 09/06/2010
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I certify that the above statements are correct, and if employed, understand that any false information in this application, or accompanying documents, will be sufficient grounds for termination. I further agree that all policies, procedures, and regulations authorized by the company shall constitute a part of my employment. I understand if offered employment, it is contingent on the outcome of the background investigations as it relates to my suitabillity for the employment I seek and the outcome of my drug test. I further authorize Delta Companies Inc to check all information contained on the application and applicant materials. I hereby and forever release from any liability former employers and others who provide reference information and assessment of my work history. I further authorize education institutions and schools to provide my education credit if asked by Delta Companies Inc.



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