“I certify that the facts contained in this application are true and complete to the best of my knowledge and  understand that, if employed, falsified statements on this application shall be grounds for dismissal.  I authorize investigation of al statements contained herein and the references and employers listed above to give  you any and all information concerning my previous employment and many pertinent information the may have, personal  or otherwise, and release the company from all liability for any damage that may result from utilization of such information.  I also understand and agree that no representative of the company has any authority to enter into any agreement for  employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing  and signed by an authorized company representative.  
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited  by the Americans with Disabilities Act (ADA and other relevant federal and state laws.”