Applicant Consent Agreement
I understand that, if offered a position with Tellico Village POA, I will be required to submit for testing for the presnce of drugs or alcohol. I understand that submission to such testing is a condition of employment with Tellico Village POA, and that if I refuse to submit and consent to such testing, if I frustrate, interfere with, or tamper with the testing process, or if I adulterate the test specimen, I will no longer be eligible for employment with Tellico Village POA.
I hereby consent to submit to urinalysis and/or other tests as shall be determined by Tellico Village POA for the purpose of determining the drug content thereof.
I agree any facility designated by Tellico Village POA may collect these specimens for these tests and may test them or forward them to a testing laboratory designated by Tellico Village POA for analysis.
I further agree to and hereby release the results of said tests to the Tellico Village POA.
I further agree to hold Tellico Village POA and its agents harmless from any liability arising in whole or part out of the collection of specimens, testing, and use of the information from said testing.
I further agree that a reproduced copy of this consent and release form shall have the same force and effect as the original.
I have carefully read the foregoing and fully understand its contents. I acknowledge that my signing of this consent and release form is a voluntary act on my part and that I have not been coerced into signing this document by anyone.