"I certify that the information provided in this application is true, complete, and correct to the best of my knowledge. I understand that any false, incomplete, or misleading information may result in disqualification from employment consideration or, if employed, dismissal. I authorize Success Vision Express and its representatives to verify the information provided in this application and to conduct a background investigation for employment purposes. I authorize references, prior employers, educational institutions, agencies, background check companies, and other relevant sources to provide information regarding my qualifications, employment history, education, character, public records, and other information relevant to my application. I release Success Vision Express, its representatives, and all persons or entities providing such information from liability arising from the release, receipt, or use of this information, to the fullest extent permitted by law. I understand that no representative of Success Vision Express has authority to enter into any employment agreement for a specific period of time, or any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This authorization does not permit the release or use of disability-related or medical information in a manner prohibited by the ADA or other applicable federal, state, or local laws."