15 Urban Ave., Westbury, NY 11590
Phone: (516) 997-8400
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.
In the event I am employed, I understand that false or misleading information giving in my application or interviews(s) may result in discharge.