I certify that answers given herein are true and complete to the best of my knowledge.

I authorize Embun Pagi School to make such investigations and inquiries of my personal and employment history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview (s) may result in discharge. I understand, also, I am required to abide by all rules and regulations of the Company.