I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. In case any information given in this application proves to be false or incorrect, I shall be responsible for the consequences. I further request and authorize any former or present employer, military records center, police, parole and probation agencies , and former schools to provide the Central Islip Public Library with any information regarding my character, habits, work ability, and/or education. In consideration of compliance with this request, I hereby release and discharge said institutions from any claims, liabilities or damages. I ceritify that my answers are true and complete to the best of my knowledge. If this application leads to my empoyment, I understand that false or misleading information in my application or interview may result in my release.