I hereby certify that this request contains no willful misrepresentation(s), and that should any investigation disclose such misrepresentation or falsification, my application will be rejected, my name removed from consideration for appointment, or I may be removed from appointment.
I understand that submission of my request does not guarantee appointment.
I understand that I may be required to submit to a background check as a condition of appointment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the result of these checks will result in withdrawal of any offer or termination of appointment.
By submitting this request I acknowledge that I have read and understand the above statements.