I understand that employment requires proof of eligibility to work in the United States according to the Immigration Reform and Control Act of 1988 and I will be able to provide the needed documentation to show my identity and eligibility upon hire.

I certify that the information contained in my application materials (e.g. this form, my resume, curriculum vitae, etc.) are true and correct to the best of my knowledge and belief and, in this connection, understand and agree that any misrepresentation, omission, or falsification of information provided herein constitutes grounds for immediate dismissal and may disqualify me for future employment at the University of Virginia. I hereby authorize the University of Virginia to verify my past and present employment, education and such other activities as are related to these application materials. I agree to cooperate in such inquiry and hereby release the University of Virginia from all responsibility or liability. I agree to submit to such pre-employment tests as may be deemed necessary by the University of Virginia and I understand that successful completion of such tests is in accordance with standards established by the University. In consideration of my employment by the University of Virginia, I agree to conform to and abide by all of its rules, policies and regulations.

I hereby authorize my past and present employers, schools, institutions, and all individuals, partnerships, associations or corporations and any other references to provide any information they may have regarding me. I hereby release them and other organizations from all liability, claims and causes of action for issuing same.

I understand that, if applicable, I must be registered with Selective Service.