I understand that any untrue statements in this application will be just cause for dismissal. I understand that a routine inquiry may be made which will include applicable information concerning character, general reputation, personal characteristics and mode of living. Upon written request, additional information as to the nature and scope of the report, if one is made, will be provided. I authorize the release of information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing this information to Farm Fresh Richmond.

My electronic signature below certifies that I have read, understand, accept, and agree with the above statements and that the information on this application is complete and correct. My electronic signature below certifies that this application was completed by me, and all entries on it and information in it are true and complete to the best of my knowledge.