I declare that I have answered all of the questions above accurately and truthfully to the best of my knowledge. I understand that if I have knowingly provided any information in this form, or other documentation that I have provided in support of this application that is false or misleading, then Left Field may terminate my employment. I understand that any and all information provided by me in this application may be verified with the sources I have listed in relation to that information. I also understand that any information obtained about me by Left Field will be kept confidential in accordance with the Privacy Act.