I certify that the information contained in this application is correct to the best of my knowledge, and understand that falsification of this application in any detail is grounds for disqualification from further consideration. I agree to conform to the rules and regulations of the company, and understand that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the company or myself. I further understand that no personnel recruiter or interviewer or other representative of the company, other than the President, has any authority to enter into any agreement for employment for any specified period of time.

I acknowledge that, in connection with my application for employment, promotion or assignment with The Hotel Julien Dubuque, I have been advised in writing that an investigative consumer report may be made as to my character, general reputation, personal characteristics and mode of living. I further acknowledge that I have been advised in writing by The Hotel Julien Dubuque that, upon written request, within a reasonable time, additional information as to the nature and scope of the report, if one is made, will be provided. This written request should be addressed to the Manager
where the application is filed.

I hereby authorize all personnel, schools, companies, corporations, credit bureaus and law enforcement agencies to supply and all information concerning my qualifications for the position applied for, and release the same from any liability resulting from providing such information. I also acknowledge that, from time to time, The Hotel Julien Dubuque may be required to submit certain information with regard to my employment or application to various State and Federal Governmental agencies. I hereby authorize The Hotel Julien Dubuque to provide such information, and release the company, its agents, officers and subsidiaries from any liability resulting from submitting such information.

I hereby certify that all the statements and answers set forth on this application form are complete and true, and I understand that if, subsequent to employment, any of such statements and/or answers are found false or that information has been omitted, such false statements or omissions will be my immediate termination of my employment.

I acknowledge that The Hotel Julien Dubuque is an equal opportunity employer and my application will be considered based upon my qualifications only