Please list three professional references and their phone numbers
DISCLAIMER AND SIGNATURE
READ CAREFULLY AND SIGN BELOW
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
I authorize Goldner Rotisserie, LLC to thoroughly investigate my work experience and any other matters related to my suitability for
employment. I further authorize my former employers, other persons, agencies or institutions to disclose to Goldner Rotisserie, LLC any and
all information they may have concerning my pervious employment. In addition, I hereby release Goldner Rotisserie, LLC, my former
employers, and all other persons from any and all claim, demands, or liabilities arising out of or in any way related to, such disclosure.