Applicant’s Statement (Please read and sign below)* I certify that all answers given in this application are true and complete. I also understand that any offer of employment may be conditional upon the
satisfactory results of a medical evaluation, drug screening, criminal history background and driver’s license check. I authorize investigation of all
statements contained in this application for employment, as may be necessary in arriving at an employment decision and do not hold the City or any
other individual involved in this investigation liable for information obtained in this process. I also understand that incomplete, false or misleading
information given in my interview or this application may result in elimination from consideration for employment or discharge at any time. I further
understand that, if employed, I will abide by all policies, rules and procedures of the City of Kirby.