| If
you are to be hired by the company, you will be required to
attest to your identity and employment eligibility, and to
present documents confirming your identity and employment
eligibility. You cannot be hired if you cannot comply with
these requirements.
I certify
that the facts contained in this application are true and
complete to the best of my knowledge. I understand that any
false statement, omission, or misrepresentation on this application
is sufficient cause for refusal to hire, or dismissal if I
have been employed, no matter when discovered by the Company.
I understand
that any employment is conditioned on the background check.
I authorize the Company to thoroughly investigate all statements
contained in my application or resume, and I authorize my
former employers and references to disclose information regarding
my former employment, character and general reputation to
the Company, without giving me prior notice of such disclosure.
In addition, I release the Company, any former employees and
all references listed above from any and all claims, demands
or liabilities arising out of or related to such investigation
or disclosure.
I understand
and agree that nothing contained in this application, or conveyed
during any Interview, is intended to create an employment
contract, I further understand and agree that if I am hired,
my employment will be "at will" and without fixed
term, and may be terminated at any time, with or without cause
and without prior notice, at the option of either myself or
the Company. No promises regarding employment have been made
to me, and I understand that no such promise or guarantee
is binding upon the Company unless made in writing.
If I
am offered employment I agree to submit to a medical examination
and drug test before starting to work. If employed, I also
agree to submit to a medical examination or drug test at any
time deemed appropriate by the Company and as permitted by
law. I consent to such examinations and tests, and I request
that the examining doctor disclose to the Company the results
of the examination, which results shall remain confidential
and segregated from my personal file. I understand that my
employment or continued employment, to the extent permitted
by law, is contingent upon satisfactory medical examinations
and drug test, and if I am hired a condition of my employment
will be that I abide by the Company's Drug and Alcohol Policy.
I understand
that filling out this form does not indicate there is a position
open and does not obligate the Company to hire. If hired,
I agree to abide by all Company work rules, policies and procedures.
The Company retains the right to revise its policies and procedures,
in whole or in part, at any time. |