I certify that I have read and understand this form and that the answers given by me to the forgoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application may result in rejection of my application or discharge at any time during my employment. I authorize Jacob Masonry Contractors LLC. and/or its agents, including consumer reporting bureaus, to verify any of this information. I authorize all former all former employers, persons, companies, training centers, and law enforcement authorities to release my information concerning my background and hereby release any said persons, companies, training centers, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. I am willing to submit to drug testing to detect the use of any illegal drugs prior to and during employment.