IT IS OUR POLICY TO COMPLY WITH ALL APPLICABLE LOCAL, STATE AND FEDERAL LAWS PROHIBITING DISCRIMINATION IN EMPLOYMENT BASED ON RACE, RELIGION, COLOR, SEX, AGE, NATIONAL ORIGIN, DISABILITY, MILITARY STATUS OR OTHER PROTECTED CLASSIFICATION.
Equal access to programs, services and employment is available to all persons. If you need help filling out this application form or for any phase of the employment process, please notify the person that provided you this form and every effort will be made to reasonably accommodate your needs.
Maximum number of references reached.
Please read the following carefully before submitting this application form:
I certify that all information I have provided in order to apply for and secure employment with the employer is true, complete and correct.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service, whenever it is discovered.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from any and all references (personal and professional), former employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, and I release the employer and such other entities and individuals from any liability for any damages whatsoever that may result from their so doing. I also authorize all references (personal and professional), former employers, public agencies, licensing authorities and educational institutions to release any and all information concerning my background, previous employment, education or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from any liability for any damages whatsoever that may result from their furnishing such information.
I understand that this application remains current for only 90 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.
If I am employed, I understand that my employment will be at-will, and the employer reserves the right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid.
I understand that after an offer of employment, and prior to reporting to work, I may be required to submit to a medical review. Depending on company policy and the needs of the assigned job, I may be required to complete a medical history form and may be required to be examined by a medical professional designated by the employer.
I also understand that the illegal use of drugs is prohibited during employment. As company policy provides, I may be required to submit to drug testing to detect the illegal use of drugs prior to and during employment.