By submitting this form, I affirm and acknowledge that the information provided is about me and is true, accurate, correct, and complete.

I authorize El Dorado Technologies, LLC, its officers, employees, and assigns ("El Dorado Tech") to contact my current and previous employers, references, and others in evaluating my suitability for employment; and consent to the release of any pertinent information by my current and previous employers, references, and others.

Further, as part of their assesment, I authorize El Dorado Tech to access and evaluate information about me from credit reporting agencies, public records, social networking websites, and any other resource that may be reasonably related to my suitability for employment.

Finally, I pledge to hold harmless El Dorado Tech from any damage resulting from such research and disclosure, and accept that El Dorado Tech will share with me any information gained or developed through this evaluation process at its sole discretion, regardless of the outcome of its hiring decision.