submitting this application, I understand that: All information I provide is subject to a
thorough review and confirmation by Lost Coffee and Human Resources; and I may be
disqualified for employment if Lost Coffee determines that I have provided any deliberately
false, misleading, inaccurate, incomplete or knowingly untruthful answers to any
question(s). If selected for an in-office interview, I will be asked to affirm this
electronic signature with an actual signature. I hereby certify that all of the foregoing
information I have provided is accurate and true to the best of my knowledge.