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General Grain Agronomy Operations Attendant
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Release of Information Request:

I hereby authorize Key Cooperative, 13585 620th Avenue, Roland Iowa to request/obtain information for the purposes of investigation as required by Section 391.23 of the Federal Motor Carrier Safety Regulations. You are released from any and all liability which may result from furnishing such information.

  1. In accordance with the provisions of Section 604 and Section 607 of the Fair Credit Reporting Act, Public Law 91-508, I hereby certify that the information requested will be used for a "permissible purpose" as defined in the Act, and that the information received will be used for no other purpose.
  2.  I further certify that if the applicant named below is denied employment based upon information received, I will identify the source of the report in accordance with Section 615(a) of the Fair Credit Report Act.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. You have permission to contact schools, references and past employers to verify any facts in establishing my qualifications. I understand that all employment is subject to the at-will doctrine. I agree to furnish such additional information and complete such examinations as may be required to complete my application file. It is agreed and understood that this Application in no way obligates Key Cooperative to employ or hire the applicant. I also understand my employment is subject to a negative pre-employment drug test, as well as the results of background checks. 

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