Disclaimer and Signature
APPLICATION FOR EMPLOYMENT
References Please list three professional references
NOTE: after clicking SUBMIT, screen may appear blank -- please scroll back to the top of the application where you will see the confirmation that your application has been submitted.
NOTICE TO APPLICANTS
Our Company is a DRUG-FREE WORKPLACE
Screening tests for illegal drug use may be required before hiring and during your employment here.
PLEASE, NO PHONE CALLS OR DROP IN'S
We will contact you if we are interested in an interview
By clicking the SUBMIT button, I agree to the following:
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability -related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.