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I hereby certify that all statements made herein and/or attached hereto are true to the best
of my knowledge, and I understand that, if employed, any falsehood or misrepresentation is
cause for separation from service with the City of Fort Mill.

I authorize the release of such information as my work, school, police, medical, credit,
personal, and mental records, and other information as needed to determine my
qualifications and fitness for the position I am seeking with the City of Fort Mill, or
fitness for any position I may hold with the City of Fort Mill.

I hereby release former employers and reference sources from all liability for divulging such
information.

I agree to submit to pre-employment drug testing. I understand that testing positive for
use of an illegal drug, abuse of a legal drug, use of an unprescribed legal drug, refusal to
take the test, or failure to keep the scheduled appointment for the test will generally
result in denial of employment with the City of Fort Mill.

Fort Mill Police Department will be storing your data in Recruit CRM to manage your information.

Recruit CRM is a software system that helps recruitment firms manage their relationship with their a