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.

I also authorize Southtown Pourhouse to make any investigation of my personal or employment history, and I also authorize any former employer, person, firm, corporation, or government agency to give Southtown Pourhouse any information they may have pertaining to me. In consideration of Southtown Pourhouse’s review of this application, I release Southtown Pourhouse and all providers of information from any liability as a result of furnishing and receiving this information.