Have you ever been convicted of a criminal offense? If so, explain below:
Statement of Purpose: The information that you provide on this application is subject to verification. Falsifications or misrepresentations may disqualify you from consideration for employment, if hired, may be grounds for termination at a later date. With my signature below, I certify that all information on this application is true, correct and complete to the best of my knowledge and contains no willful falsifications or misrepresentations. I authorize all former employers to releaase job related information they may have about me and I release all persons or companies from any liability for providing such information.