The information provided in this application for placement is true, correct, and complete to the best of my knowledge.
If placement is found, any misstatement or omission of fact on this application could result in my dismissal. I understand that acceptance of an offer of employment will not create a contractual obligation upon the employer to continue to employ me at anytime in the future. If employment is granted to me, I agree to abide by the conditions set forth within the employer's contract including any company rules and regulations which are in effect.
I understand that, at the discretion of the agency information regarding my past employment education and special skills; this information only can be viewed by potential employer.

The agency has no registration & placement charges of any kind however we do have one time non refundable fee of $19 US to process the information being submitted to us.