I hereby declare that the information is complete and accurate and that there are no omissions. I understand that any conditional or firm offer of employment will be based on the information that I have provided, and that any misrepresentation or omission of relevant information may be grounds for dismissal and will release San Bar Construction Corp. from any liability by having acted upon such facts.

I understand that San Bar Construction Corp. may give me a conditional job offer, following which I may be required to furnish information regarding medical problems and Worker’s Compensation claim history, may be asked to take a medical examination, and will be required to pass a drug screen. I will also be required to furnish information regarding any pre-existing physical or mental disability. Your signature below certifies that you have read or have been read and understand this Pre-Employment Application and the conditional employment criteria.

I hereby authorize San Bar Construction Corp. to investigate and verify the facts claimed by me on this application.