Record of Education
**Adapt For Life provides equal employment opportunities without regard to race, color, sex, citizenship,
national origin, ancestry, or on the basis of age or physical or mental disability.
I certify that the information in this application is true and complete for all practical purposes. Should a position
be offered and later it is found that any of this information is untrue, incomplete, or misrepresented, I
understand and agree that the Adapt For Life has the right to end my employment.
I voluntarily give Adapt For Life the right to make a thorough investigation of my past employment and
activities, agree to cooperate in such investigation and release from all liability or responsibility all persons,
companies or corporations supplying such information.
I understand that my employment is at will and that either party is free to terminate the employment
relationship at any time without cause. I also understand that my employment may be terminated for any
misstatement or omission of fact appearing on this application form.
If employed, I will be required to complete an Employment Verification Form (I-9) and within 3 days show
satisfactory evidence of identity and eligibility for employment.