CERTIFICATION, ACKNOWLEDGMENT AND RELEASE
I certify that the answers I have given on this application are true and correct to the best of my knowledge. I understand that any false or misleading information provided or any omission or concealment of facts, will disqualify me from consideration for employment, and constitutes grounds for my immediate dismissal should I be employed by Clay County.
I understand, acknowledge and agree that no offer of employment is valid or binding until formal approval by the County Board or the appointing authority, and that until such approval, the County shall not be liable for reliance on any oral or written offers of employment made to me.
In connection with this application I hereby authorize any and all current and former employers and references named in this application, or any agent of such a former employer or organization, to release to the County and its agents any and all information regarding my job performance and fitness/qualifications to perform the position I am presently seeking and any other employment or related information, both public and private, in their possession. I understand that Clay County will use this information to determine my fitness/qualifications for the position I am seeking. This authorization expires one year from the date of my signature below.
I hereby release Clay County and all former employers, organizations and references listed herein and any and all agents acting on behalf of said County, former employers, organizations or references, for any and all liability of whatever nature by reason of requesting or providing such information.