APPLICANT
CERTIFICATION
I
understand and agree that if driving is a requirement of the job for which I am
applying, my employment and/or continued employment is contingent on possessing
a valid driver's license for the state in which I reside and automobile
liability insurance in an amount equal to the minimum required by the state
where I reside.
I
understand that the Company may now have, or may establish, a drug-free
workplace or drug and/or alcohol testing program consistent with applicable
federal, state, and local law. If the Company has such a program and I am
offered a conditional offer of employment, I understand that if a
pre-employment (post-offer) unlawful drug and/or alcohol test is positive, the
employment offer may be withdrawn where allowed by law. I agree to work under
the conditions requiring a drug-free workplace, consistent with applicable
federal, state, and local law. I also understand that all employees of the
location, pursuant to the Company's policy and federal, state, and local law,
may be subject to urinalysis and/or blood screening or other medically
recognized tests designed to detect the presence of alcohol or illegal or
controlled drugs. If employed, I understand that alcohol and/or drug testing
may be a condition of continual employment and I agree to undergo alcohol and
drug testing consistent with the Company's policies and applicable federal,
state, and local law.
If
employed by the Company, I understand and agree that the Company, to the extent
permitted by federal, state, and local law, may exercise its right, without
prior warning or notice, to conduct investigations of Company property
(including, but not limited to, files, lockers, desks, vehicles, and computers)
and, in certain circumstances, my personal property. I understand that I have
no expectation of privacy in Company property.
I
understand and agree that as a condition of employment and to the extent
permitted by federal, state, and local law, I may be required to sign a confidentiality,
restrictive covenant, and/or conflict of interest statement.
I certify
that all the information on this application, my résumé, or any supporting
documents I may present during any interview is and will be complete and
accurate, to the best of my knowledge. I understand that any falsification,
misrepresentation, or omission of any information may result in
disqualification from consideration for employment or, if employed,
disciplinary action, up to and including immediate dismissal.
THIS
COMPANY IS AN AT-WILL EMPLOYER WHERE ALLOWED BY APPLICABLE STATE LAW. THIS
MEANS THAT REGARDLESS
OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE
THE
EMPLOYMENT
RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL
LIMIT THE RIGHT TO TERMINATE EMPLOYMENT
AT-WILL. NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF THE COMPANY IS
AUTHORIZED
TO ENTER INTO AN AGREEMENT—EXPRESS OR IMPLIED—WITH ME OR ANY APPLICANT FOR EMPLOYMENT FOR A SPECIFIED PERIOD OF
TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF THE COMPANY.
IF
HIRED, I AGREE TO CONFORM TO THE LAWFUL RULES AND REGULATIONS OF THE COMPANY,
AND I UNDERSTAND THAT
THE COMPANY HAS COMPLETE
DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT
AT-WILL UNLESS SUCH AGREEMENT IS SIGNED BY THE PRESIDENT OF THE COMPANY.
I
authorize the Company and/or its agents to confirm all statements contained in
this application and/or résumé as it relates to the position I am seeking, to
the extent permitted by federal, state, or local law. I agree to complete any
requisite authorization forms for the background investigation which may be permitted
by federal, state and/or local law. I certify that I have received a separate
written notification that the Company may obtain consumer reports (for example,
criminal history, driving records, etc.) on me for use in connection with my
Application (where allowed by law) and, if I am hired, my employment, unless
otherwise prohibited by state, local, or federal law.
I AUTHORIZE AND CONSENT TO, WITHOUT RESERVATION,
ANY PARTY OR AGENCY CONTACTED BY THIS EMPLOYER (INCLUDING ANY AND ALL PRIOR
EMPLOYERS OF MINE) TO FURNISH INFORMATION REGARDING MY PREVIOUS EMPLOYMENT
HISTORY AND/OR ANY OF THE ABOVE-MENTIONED INFORMATION. I
hereby release, discharge, and hold harmless, to the extent permitted by
federal, state, and local law, any party delivering information to the Company
or its duly authorized representative pursuant to this authorization from any
liability, claims, charges, or causes of action which I may have because of the
delivery or disclosure of the above requested information. I hereby release
from liability the Company and its representative for seeking such information
and all other persons, corporations, or organizations furnishing such
information. Further, if hired, I authorize the Company to provide truthful
information concerning my employment to future employers and hold the Company
harmless for providing such information.
If hired by this Company, I understand that I
will be required to provide genuine documentation establishing my identity and
eligibility to be legally employed in the United States by this Company. I also
understand this Company employs only individuals who are legally eligible to
work in the United States.
This application will
be considered active for a maximum of sixty (60) days. If you wish to be
considered for employment after that time, you must reapply.
I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS
APPLICATION IS TRUE, ACCURATE, AND COMPLETE.
DO NOT SIGN UNTIL YOU
HAVE READ ALL OF THE INFORMATION CONTAINED IN THE APPLICATION.
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