I affirm that the information on the Transfer Application is true to the best of my knowledge. I authorize the
release of information by persons, schools and previous employers. I authorize my file to be reviewed by
appropriate KSB staff/management in consideration for this position. I recognize that a promotion/transfer
would require that I complete an evaluation period and that my benefits could change. I understand that as a
candidate for this position, after interviewing, the hiring director or a representative from Human Resources
Development, may contact my current supervisor for a reference. I authorize the Human Resource Development
Department to conduct a criminal background check if deemed necessary.