Give the names of three people not related to you, whom you have known at least one year.

I hereby authorize SBNH to contact, obtain and verify the accuracy of information contained in this application from all previous employers, educational institutions and references. I understand that any intentional misrepresentation or material omission made by me on this application may constitute grounds for recession of a job offer or immediate termination of employment if I am employed, without notice, whenever it may be discovered. If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or SBNH can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law. I understand that this is a drug free workplace and consent to compliance with this policy as a condition of employment. I also understand that, if I am considered for employment,I will be required to complete a CORI/SORI check consent. CORI/SORI will consist of a finger print check. Employment will be conditional until clearance is granted and failure to do so shall result in immediate termination of employment. I have read and fully understand the foregoing statements and I seek employment under these conditions.