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By clicking Submit below, you certify that the facts contained in this application are true and complete to the best of your knowledge and understand that, if employed, falsified statements on this application shall be ground for termination.

You authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning your previous employment and any pertinent information they may have, personal or otherwise, and release Little Jewel, Inc. and its representatives from all liability for any damage that may result from utilization of such information.

You also understand and agree that no representative of Little Jewel, Inc. has any authorization to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. I understand that if I become an employee of Little Jewel, Inc. that such employment is contingent on my ability to routinely perform ALL my job duties at an acceptable level.

This waiver does not permit the release of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal laws. Dairy Palace Restaurant is a NOT a subscriber to Texas Workers Compensation.