List present or most recent first.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give Upper Des Moines opportunity, Inc. permission to contact previous employers (unless otherwise indicated), schools, references and others, and hereby release Upper Des Moines Opportunity, Inc. from any liability now or in the future as a result of such contact. I also grant permission to Upper Des Moines Opportunity, Inc. to provide copies of my application materials to employees other than the designated search committee for purposes of determining my suitability for a position. I also understand that I may be required to take a physical exam and that continued employment may be based on the successful passing of job-related physical examinations. I understand that I am to abide by all rules, regulations, and policies of Upper Des Moines Opportunity, Inc. I understand that my employment and compensation may be terminated with or without cause, and with or without notice, at any time, at the option of Upper Des Moines Opportunity, Inc. I further understand that no one other than the Executive Director of Upper Des Moines Opportunity, Inc. has any authority to enter into any agreement for employment or make any agreement to the foregoing.