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The information stated on this application is true and complete to the best of my knowledge and that I have withheld nothing that would reflect unfavorably upon me. I hereby authorize R.K. Black, Inc. to contact my previous employers. By signing below, I expressly authorize my prior employer(s) to provide information regarding my employment, my performance, my separation from the company and any other matters they deem relevant. I expressly release my prior employer(s) from any liability for any information provided in connection with my prior employment as long as it is provided in good faith and is reasonably believed by my prior employer(s) to be true.

I understand that my employment is “At Will”, and that the employer / employee relationship can be terminated at any time with or without prior notice. I acknowledge that I have read, understand and accept the above statements.