FORMER EMPLOYERS (List below three employers, starting with the last one first)
REFERENCES: Give the names of three persons not related to you, whom you have known at least one year.
MALONEY & ASSOCIATES, INC. dba: CANTON CHAIR RENTAL
EMPLOYEE UNDERSTANDING REGARDING MOTOR VEHICLE INSURANCE
I, First Name* Last Name*, undersigned applicant/employee, understand and agree that my hiring by Maloney & Associates, Inc. dba: Canton Chair Rental (the Company), is contingent upon the Company being able to unsure me under their motor vehicle insurance policy. If the Company is unable to insure me under their motor vehicle insurance the Company's offer of employment will be rescinded. I further understand that if any time during my employment the company cannot insure me under this policy my employment may be terminated. Agree*
EMPLOYEE UNDERSTANDING REGARDING DRUG FREE WORKPLACE
I, First Name* Last Name* , the undersigned applicant/employee, understand that Maloney & Associates, Inc dba: Canton Chair Rental (the Company) is a Drug Free Workplace and if offered a position I will be required to submit to a pre-employment drug screen. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of a drug screen will result in the withdrawal of any employment offer. Agree
I understand that acceptance of my application for employment does not commit Canton Chair Rental/Maloney Associates, Inc. (“The Company”) in any way to hire me; and that nothing in my application, or in any other communication or document, creates or implies a contract or promise of employment requiring that I be hired or retained by the Company in any position for any period of time.
I authorize the Company to investigate all written or oral statements by me and to obtain such information and reports as reasonably shall be required by the Company concerning me. Furthermore, I release all such parties from any claim, damage, or liability resulting from their furnishing such information to the Company.
I understand that, if employed, I will be required to abide by all rules and regulations of the Company.
I understand that, if I am hired, my employment with the Company will be at will and for no definite period; and that such employment may be terminated at any time, by me or by the Company for any reason not specifically prohibited by law, regardless of the date of payment of my wages or salary. I further understand and agree that no representative of the Company has the authority to enter into any agreement for employment contrary to the foregoing, unless such action is taken in writing by the President (or the Vice President
I certify that the information given by me on this application is true and complete (as is the information which I have provided to the Company in any document or interview); and that I have not withheld any fact which, if disclosed, would unfavorably effect my qualifications for employment. I agree that any false or substantially misleading information furnished by me on or in connection with this application, or in any related interview or document, shall be sufficient reason for rejection of my application, or termination of my employment, as appropriate.
I, First Name* Last Name* , have carefully read the foregoing application and understand its contents. Date* Signature*