Company name, address, & phone number.
Provide addresses & dates for the past 3 years.
I authorize Mountain Lake Corp. or it's designated agents to investigate the truthfulness of all the statements made on my application or resume. I further authorize them to contact my former employers and any other persons who can verify information.
I understand that my employment with Mountain Lake Corp. is conditioned upon a successful background investigation. I give my consent for all contacted persons, including former employees, to provide information concerning this application for employment.
I hereby promise not to sue and do hereby release each such person from providing information to Mountain Lake Corp. and it's designated agent from any and all liability of any kind or nature whatsoever, for actions taken as part of processing my application for employment and the activities described in this document.
I affirm that the information provided in the application is true, correct, and complete. If employed, any misstatement or omission of facts on this application shall be grounds for refusal of employment, or if hired, dismissal from employment.
Typing name and date in the above box counts as a signature. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.