PLEASE READ CAREFULLY BEFORE SIGNING.
I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment.
I understand, where permissible under applicable state and local law, I may be subject to a pre-employment drug test after receiving a conditional offer of employment, and must receive a negative result for illegal drug use before being permitted to commence work with LINDA M. COLBURN, DVM, ACPVC.
I understand, where permissible under applicable state and local law, I may be subject to a pre-employment medical examination after receiving a conditional offer of employment, and must meet the qualifications for the position, with or without reasonable accommodation, before being permitted to commence work with LINDA M. COLBURN, DVM, ACPVC.
I understand, where permissible under applicable state and local law, I may be subject to a pre-employment background check after receiving a conditional offer of employment to investigate my criminal background, driving record, credit history and other matters related to my suitability for employment. I understand that a separate disclosure and consent form will be provided to me prior to any background check.
I hereby certify that the information given by me is true in all respects. I authorize LINDA M. COLBURN, DVM, ACPVC and its representatives to contact my prior employers and all others (with the exception of my current employer, only if I have marked “May we contact?” on page 3 of this application as “No”) for the purpose of verification of the information I have supplied and release same from any liability resulting from the information released. I authorize employers, schools and other persons named on this application to provide any information or transcripts requested.
I understand employment with LINDA M. COLBURN, DVM, ACPVC is also contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.
I hereby certify that, if employed, my employment with LINDA M. COLBURN, DVM, ACPVC will not conflict with, or result in the violation of, breach of, or default under, any contract, agreement or understanding that I am a party to or am bound by, other than those I have disclosed in this application, if any.
I hereby certify that, if employed, my employment with LINDA M. COLBURN, DVM, ACPVC will not violate any non-solicitation, non-competition or other similar covenant or agreement I have with any of my prior employers, other than those I have disclosed in this application, if any.
I hereby certify that, if employed, I will report to my supervisor, a representative of HR or other member of management, if I am ever harassed by someone in the company or if I ever become aware of any unethical behavior by any employee.
I expressly understand and agree that, if employed, my employment, having no specified term, is based upon mutual consent and may be terminated at will, with or without cause, by either party (LINDA M. COLBURN, DVM, ACPVC or me) without prior notice to the other, unless otherwise prohibited by law.
I understand that no representation, whether oral or written, by any representative or agent of LINDA M. COLBURN, DVM, ACPVC, at any time, can constitute an implied or express contract of employment. I further understand no representative or agent of LINDA M. COLBURN, DVM, ACPVC has the authority to enter into an agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or other terms or condition of employment other than in a document signed by the Director of Human Resources or an authorized representative.
I certify that all of the above information is true and complete, and I understand that any falsification or omission of information may disqualify you from further consideration for employment or, if hired, may result in termination regardless of the time elapsed before discovery.
Note: An offer of employment is conditioned upon complying with LINDA M. COLBURN, DVM, ACPVC's requirements including, but not limited to, signing a separate disclosure and consent form prior to any background investigation.
MY SIGNATURE IS EVIDENCE THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS.