Volunteer Position

Please list two references other than relatives or previous employers.

Please provide a brief answer of no more than 150 words for each of the following:

I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and or fitness for employment by employers, schools, and other individuals to Push The Rock staff for employment purposes. I also consent to give Push The Rock permission to add my contact information to its database for marketing materials. This consent shall continue to be effective during my employment if I am hired. I certify that to the best of my ability and belief all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith.