I declare that all of the information supplied by me on this application is true and complete to the best of my knowledge. I understasnd that a false statement may disqualify me from employment or may cause my dismissal.
I hereby acknowledge that any offer of employment is conditional upon the passing of a drug and alcohol test as required by the company which will be administered by a Company approved collection facility.
I further acknowledge that any offer of employment may be contingent on a job related medical examination if the Company sees fit. I understand that failure to meet the Company's standards pertaining to a medical examination is sufficient cause to disqualify me from employment or may be cause for dismissal.
Should I refuse the required drug and alcohol testing or refuse medical examination (if required) I acknowledge that such refusal shall be deemed a withdrawl of the above application for employment.
Authorization to Release Information
In making this application for employment, I authorize the offices or employees of the above noted former employers to release to the Company a complete history of my previous employment with their organization. I acknowledge that the information that may be requested may pertain to wages, tenure, reason(s) for termination and character and work ethic during the course of my employment.
I further authorize any law enforcement agency, administrator, provincial agency, educational institution or private information bureau that has any record or knowleddge of my employment history, motor vehicle operation history, criminal record, education, credit or other history records to provide that information upon receipt of this signed release. A telephone facsimile (fax) or photographic copy of the authorization shall be considered as valid as the original. I release all parties from all liablity for any damage that may result from furnishing such information to West-Can Seal Coating inc.
All personal information submitted on this application is confidential and I hereby consent to the collection and use of such personal information for employnent purposes, specifically where such information is necessary to establish, manage or terminate my employment with West-Can Seal Coating Inc.