The information provided in this Employment Application is true, correct and complete. If employed, any misstatement or omission of fact on this Employment Application may result in immediate termination of my employment.
I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.
I understand that it is J.L. Roberts Mechanical Contracting LLC's policy to prohibit the use, possession, transportation or sale of illegal and non-prescribed drugs and alcoholic beverages by its employees on the company's premise, by the company's employees while on duty or by the company's employees in such a way that could damage the company's reputation in the general public. I understand that use of illegal or non-prescribed drugs, or alcoholic beverages in any such fashion is a violation of J.L. Roberts' policy. Accordingly, I hereby agree to submit a pre-employment drug and/or alcohol test as a condition for my potential employment. I understand that failure to cooperate with any testing procedure will disqualify me from consideration for employment. I authorize any laboratory or medical provider to release test results to J.L. Roberts, and I expressly authorize J.L. Roberts to release any test related information, including positive results, as needed. I understand that this agreement in no way limits my right to terminate my employment or be terminated in accordance with federal and state law. My signature below constitutes my consent to provide a sample of my blood, breath, urine or other related sample for alcohol and drug testing analysis.
In connection with my application for employment, I understand that an investigative background inquiry may be made on myself, including, but not limited to, identity and prior address(es) verification, criminal history, driving record, consumer credit history, education verification, prior employment verification, reference checks and other information as desired. I, further understand that for purposes of this background inquiry, various sources will be contacted to provide information, including but not limited to various federal, state, county, municipal, corporate, private and other agencies or entities, which may maintain records concerning my past activities related to my criminal conduct, civil court litigation, driving record and credit performance and other personal information. I hereby authorize without reservation any company, agency, party or other source contacted to furnish the above information as requested. I do hereby release, discharge and indemnify Advance Screening Solutions LLC, J.L. Roberts Mechanical, their agents, and associates to the full extent permitted by law from any claims, damages, losses, liabilities, costs and expenses arising from the retrieving and reporting of the requested information. I acknowledge that a photocopy of this authorization may be accepted with the same authority as the original. This signed release expires one (1) year after the date of origination. Please use your full legal name below.