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I hereby affirm that the information provided on this application is true and complete to the best of my knowledge. I also agree that falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date. I authorize all persons listed above to give Corus360 any and all information concerning my previous employment and education and any pertinent information that they may have, personal or otherwise, and release all parties, such persons and Corus360, from liability for any damage that may result from furnishing same to Corus360. I understand that Corus360 and its client have agreed that Corus360 will provide workers’ compensation insurance coverage for its employees. In the event of an injury in the workplace, I agree that my sole remedy lies in coverage under Corus360 workers’ compensation insurance policy. If employed by Corus360, I agree to conform to the rules and regulations of Corus360. I further understand that my employment can be terminated, with or without cause, or notice, at any time, at the discretion of either Corus360 or myself. I further understand that no manager or representative of Corus360, other than the president of Corus360, has the authority to enter into any agreement, oral or written, for the employment for any specified period of time or to make any assurance or promise of continued employment. I understand and agree that I may be required to take a drug and alcohol screening test. I hereby give my voluntary consent for a blood and/or urine sample to be collected from me and submitted for testing. I also consent to release the test result to Corus360 for its use. I understand that any positive drug or alcohol result may preclude my employment
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