In completing this application form, I understand that the Company may conduct or have conducted an investigation of my background. By my signature below, I authorize all persons, schools, companies,
consumer reporting agencies, and other organizations to supply any and all information requested by the Company in association with such investigation including, but not limited to, information regarding my educational background, work history, personal character, and all other information, personal or otherwise. By my signature below, I hereby release and hold harmless all persons, companies, schools, agencies, and other parties from all liability(ies) and damages whatsoever in association with any reference/background investigation performed by or for the company.
I understand that any false statements of fact upon this application will be considered just cause for my
dismissal from employment with the Company should I become an employee. I understand that the
Company may require me to supply appropriate supporting documentation concerning the information I have provided on this application.
I understand and agree that, if hired, my employment with the Company is for no definite period and may be terminated at any time for any reason without prior notice. Just as I may resign my employment at any time, for any reason, the Company will have full right and authority to terminate my employment within its sole discretion. I understand and agree that the terms and conditions of my employment, if hired, can only be varied from this “at-will” arrangement through written documentation from an official of the Company specifically authorized to make such contracts. I understand, agree, and acknowledge
that any reliance on any statements by any representative of the Company contrary to this “at-will” arrangement is unreasonable and may not form any basis for my reliance thereon.
I also understand and agree that the Company has the right to modify, amend, or terminate policies,
procedures, rules, and benefit plans in its discretion and/or a manner consistent with requirements imposed by law.
I acknowledge and agree that, should I receive an initial offer of employment, such offer is preliminary
and contingent upon my completion of a medical examination which includes testing for the use and/or abuse of drugs and alcohol to confirm my ability to perform the essential functions of the position(s) for which I am being considered. I understand that my refusal to undergo such an examination (including drug/alcohol testing) will prelude me from obtaining and continuing employment with the Company, I understand that my failure to test negative on the drug/alcohol test will cause my tentative offer of employment to be rescinded. Further, I hereby authorize and agree that all medical information obtained in association with this pre-placement examination shall be released from the appropriate medical personnel to the Company and release and hold harmless all persons, companies, and other entities
conducting such examination from all liability(ies) and damages whatsoever in association with such
I understand that this application for employment shall be considered active for a period of time not to
exceed 6 (six) months. I understand that, if I wish to be considered for employment beyond this time, I
should contact the Company to inquire as to whether applications are being accepted for positions at such time.
I understand and accept the conditions in this statement.