I certify that I have read and fully completed this form, and that the information provided is true and correct to the best of my knowledge. I authorize the references listed on this form to provide GoShine Express Car Wash with information regarding my previous employment and other information relevant to my qualifications for employment. I understand that any omission or falsification of information may be grounds for disqualification from employment or termination if hired. I further understand that, as part of the employment application process, GoShine may conduct inquiries into my employment history, character, general reputation, and relevant public records.