The above information is true and correct. I understand that, in the event of my employment by Gray Willow Inc., I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein.

I authorize Gray Willow Inc. to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to Gray Willow Inc. and will hold Gray Willow Inc. and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information.

I understand that nothing in this employment application, the granting of an interview or my subsequent employment with Gray Willow Inc. is intended to create an employment contract between myself and Gray Willow Inc. under which my employment could be terminated only for cause. On the contrary I understand and agree that, if hired, my employment will be terminable at will and may be terminated by me, or Gray Willow Inc., at any time and for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing.

If employed, I will be required to provide original documents that verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.

I hereby acknowledge that I have read and agree to the above statements.