I authorize Orcas Power and Light Cooperative to solicit information regarding my character, general reputation, previous employment and similar background information, to verify all information provided in my application, and to contact all references given on my application. I hereby waive any privilege I may have regarding this information and release all persons connected with any such request from all claims, liabilities and damages arising out of the furnishing of such information. I agree that I have read, and will comply with, OPALCO Policy 23: Conflict of Interest I will disclose the following information or facts regarding any actual or potential income, employment,compensation, Conflicting Interest Transaction, Business Opportunity or pecuniary benefit, or otherinformation or fact that could impact my compliance with Policy 23. I certify that the facts and information in this application and in any attachments or supportingdocuments are true and complete to the best of my knowledge. I understand that any falsification,misrepresentation or omissions, as well as any misleading statements or omissions will because for denial of employment or immediate termination, regardless of when or how discovered. I certify that I am a member in good standing at OPALCO. I have read each of the above statements. I have also reviewed all of the information, the attachments and/or supporting documents I was provided in this application.