In applying for employment I want Long Island University to be fully informed of my previous record, and I hereby authorize LIU to investigate my background and to obtain any and all information which may concern me and to which it is lawfully entitled. I hereby authorize all persons, schools, companies, corporations, military, government agencies, credit bureaus and law enforcement agencies to provide to the University any and all such information to which it is lawfully entitled and which may be lawfully released by the foregoing entities.

I fully understand that any misrepresentation of facts on this application shall be sufficient cause for dismissal in the event I am hired, or shall be sufficient cause for preclusion of further consideration of my application prior to being hired. I further understand that any offer of employment shall be subject to reference check.