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fro,it uiilizaiion of sr:ch inforrnaiion. Ialso t:nderstanci and agi'ee ihai no represeniaiive of ihre company has ai-ly aLiihoriiyto enier inio any agi-eemeni ior employiireni for any speciiied periocl oi tirne, or io mal(e any agreeinent conti'ary to ihe foi'egoing, uiriess ii is in writing ancl signed by an auii-rorized company representatirre. This waiver dces noi pernlii rlre release or use of disabiiiiy-relaiecl or meclical infoi-mation in a manner prohibiiecl by the Alrrei'icans with Disabiiitres Act (ADA) and other relevant federal and s'iate la\,^/s." SIGN]ATUBE
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.-; \/^!l ,:t\1 c:-rl :.,i i,:iCl-f-,a.:jCt-t ngir6:.-;rirr' -ir, .1.':\/; lrrc r-.1.-'r.a.trI =: l a.-'1 na:-i:;1ani i1lin;-rr2! r,may have, perscnal c,i" oiherwise, and r-alease .ile cornpa.n,v from ail lia.bilii-v ior any clailage ihai rnay i'esr-rli :.1. 11l17;
fro,it uiilizaiion of sr:ch inforrnaiion. Ialso t:nderstanci and agi'ee ihai no represeniaiive of ihre company has ai-ly aLiihoriiyto enier inio any agi-eemeni ior employiireni for any speciiied periocl oi tirne, or io mal(e any agreeinent conti'ary to ihe foi'egoing, uiriess ii is in writing ancl signed by an auii-rorized company representatirre. This waiver dces noi pernlii rlre release or use of disabiiiiy-relaiecl or meclical infoi-mation in a manner prohibiiecl by the Alrrei'icans with Disabiiitres Act (ADA) and other relevant federal and s'iate la\,^/s." SIGN]ATUBE
{TEFViEWED BY
D,C FllOT VVFJTIE BEn-,e1,V T'FXIS n-lflE ?.r,ryier.r<s
AU
JEATNESS
,ERSONALITY
F=D
D AATED
ABILITY
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POSITlON
DEPT,
PPFOVED;1.
A
;rrDr av11=\ri
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