By submitting this form, I understand and agree that:
1. Employers for whom I have worked in the past may be requested to furnish the Charcoal Grill information concerning my past employment or activities and I hereby release such employers from liability in connection therewith.
2. Any false statement, omission or misrepresentation made in conjunction with my past record or any other part of my application for employment with the Charcoal Grill will be justification, should I be employed, for my dismissal regardless of when such facts may be discovered