EQUAL OPPORTUNITY EMPLOYER
APPLICANT'S STATEMENT
I understand that this application is not a promise of employment.
I understand that if I am hired, my employment will not be for a definite period, regardless of the period of payment of my compensation. I further understand that I have the right to terminate my employment at any time and for any reason, and the Company may terminate my employment, at any time, for any reason, or no reason, with or without notice and with or without cause. The Company is an at-will employer. No one other than the President of the Company has the authority to modify this relationship or to make any agreement to the contrary. Any such modification or agreement must be in writing.
I understand that the Company reserves the right to require me to submit to a test for the presence of drugs in my system prior to employment and at any time during my employment. I understand that any offer of employment may be contingent upon the passing of a physical examination performed by a doctor selected by the Company. I understand that any time after I am hired, the Company may require me to submit to an alcohol and drug test, and, under certain circumstances, a physical examination, to the extent permitted by the Americans with Disabilities Act. I consent to the disclosure of the results of physical examination tests, drug and alcohol tests, and related tests to the Company, to the extent permitted by the Americans with Disabilities Act.
In connection with the Company's consideration of me for employment, continued employment, training, promotion, or reassignment, I understand that the Company or persons acting on its behalf may conduct investigative inquiries into my background that will include information regarding job references, personal references, criminal, consumer credit, driving, and other reports pertaining to me. These inquiries may include personal conversations with persons possessing knowledge relevant to these categories. These background inquiries will be conducted and reports obtained to provide the Company with job-related information regarding my character, general reputation, personal characteristics, work record, and skills and abilities, education and training, employment and experience, past job performance, reasons for termination of previous employment, and other pertinent information. I understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. I release any person or entity contacted by the Company from any and all liability for conducting such investigations and release any such person or entity from any and all liability for furnishing such information. I hereby fully waive any rights or claims I have or may have against my former employers, their agents, employees, and representatives, as well as other individuals who release information to the Company, and release them from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of any such information by any person or party, whether such information is favorable or unfavorable to me,
I hereby state that all of the information that I provide on this application and in any interview is true, complete and accurate. I understand that false statements, misrepresentations of facts or omissions may disqualify me for employment, or if I am employed, may result in my termination from employment.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT.
