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 OR MATERIAL OMISSION MAY DISQUALIFY ME FROM CONSIDERATION FOR EMPLOYMENT AND MAY BE CONSIDERED A BASIS FOR TERMINATION IF DISCOVERED AT A LATER DATE.
I AUTHORIZE ANY REPRESENTATIVE OF THE COMPANY BEARING THIS CONSENT TO OBTAIN INFORMATION RELATING TO ME AND MY ACTIVITIES FROM REFERENCES, EMPLOYERS (INCLUDING SUPERVISORS AND CO-WORKERS), PERSONNEL AGENCIES AND SCHOOLS. I DIRECT SUCH PARTIES TO RELEASE SUCH INFORMATION UPON REQUEST TO THE PERSON WHO PRESENTS THIS CONSENT. I UNDERSTAND THAT THE INFORMATION RELEASED MAY INCLUDE ACADEMIC AND WORK PERFORMANCE RECORDS. I RELEASE ANY INDIVIDUAL, INCLUDING RECORDS CUSTODIANS, AND ANY ENTITY, INCLUDING PRIOR EMPLOYERS, FROM ANY AND ALL LIABILITY FOR DAMAGES OF ANY KIND WHICH MAY RESULT TO ME ON ACCOUNT OF COMPLIANCE OR ANY ATTEMPTS TO COMPLY WITH THIS AUTHORIZATION.
I UNDERSTAND THAT THE COMPANY IS NOT OBLIGATED TO EMPLOY ME BECAUSE OF THIS APPLICATION. I ALSO UNDERSTAND THAT IF A JOB IS OFFERED TO ME AND ACCEPTED, THAT MY EMPLOYMENT MAY BE TERMINATED, EITHER BY THE COMPANY OR ME, AT ANY TIME, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT WRITTEN NOTICE. ONLY A WRITTEN DOCUMENT SIGNED BY ME AND AN OFFICER OF THE COMPANY CAN CHANGE THIS AT-WILL EMPLOYMENT. IF I AM EMPLOYED, I WILL ABIDE BY ALL OF THE RULES AND POLICIES OF THE COMPANY. I UNDERSTAND THAT THE TAKING OF DRUG AND ALCOHOL TESTS, WHEN GIVEN PURSUANT TO COMPANY POLICY, ARE A CONDITION OF CONTINUED EMPLOYMENT, AND REFUSAL TO TAKE ANY SUCH TEST MAY BE GROUNDS FOR IMMEDIATE TERMINATION. FINALLY, I UNDERSTAND THAT BUSINESS NEEDS REQUIRE ME TO BE FLEXIBLE IN MY WORK SCHEDULE AND ASSIGNMENTS, AND I ACCEPT SUCH CHANGES AS CONDITIONS OF MY CONTINUING EMPLOYMENT.
I UNDERSTAND THAT IF I AM BEING CONSIDERED FOR A POSITION REQUIRING DRIVING A VEHICLE FOR COMPANY BUSINESS, I WILL PROVIDE THE COMPANY WITH A COPY OF MY DRIVING RECORD. I ALSO UNDERSTAND THAT IF I AM HIRED AND I BECOME UNINSURABLE DUE TO VIOLATIONS RECEIVED ON OR OFF THE JOB, REGARDLESS OF FAULT, I AM SUBJECT TO IMMEDIATE TERMINATION.
I UNDERSTAND THAT STATE LAW REQUIRES THE COMPANY TO OBTAIN CRIMINAL HISTORY RECORD INFORMATION ON APPLICANTS AND EMPLOYEES WHOSE JOB DUTIES REQUIRE ENTRY INTO ANOTHER PERSON’S RESIDENCE. IF I AM BEING CONSIDERED FOR A POSITION THAT REQUIRES ENTRY INTO ANOTHER PERSON’S RESIDENCE, I WILL PROVIDE CONSENT TO THE COMPANY’S OBTAINING MY CRIMINAL HISTORY RECORD INFORMATION. I ALSO UNDERSTAND THAT A RECORD OF CERTAIN CRIMINAL OFFENSES MAY DISQUALIFY ME FROM EMPLOYMENT.