COMPLETE THE FOLLOWING ONLY IF THE POSITION REQUIRES A DRIVERS LICENSE
Work History: Current and previous 2 employers (most current employer listed first)
COLLEGE OR UNIVERSITY
REFERENCES: Information should be for people not related to you whom you have known for at least a year.
I certify that all the information furnished on this application is true, complete and correct. I understand and agree that any falsification, misrepresentation or omission of fact, either by this application or during the pre-hire process, will be reason for: 1) my not being offered employment or 2) dismissal at any time from the service of the company, if employed.
I authorize the references and previous employers listed in this application to give you any and all infomation concerning my previous employment and any pertinent information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from any liability for any damages that may result from furnishing same to you.
I hereby waive written notice from my employer and from any of my former employers regarding the disclosure of disciplinary reports, letters of reprimand, or other notices of disciplinary action contained in my personal records. This waiver is made pursuant to Section 6 of Act No. 397 of the Public Acts of 1978.
If hired, I understand I may be required to take a pre employment physical examination which will include a test for non prescription narcotics and which may be repeated during my employment at the request of my employer. I will also have my criminal history and credit history checked. Should any of the above prove to be negative, I understand I may be discharged.
This company is an Equal Opportunity Employer. It is our policy to afford equal employment opportunity regardless of race, religion, color, national origin, sex, age, maritial status, height, weight, disability or handicap.
In consideration of my employment, I agree to conform to the rules and regulation of the company, and I agree that my employment and compensation can be terminated with or without cause and with or without notice at any time a the option of either the company or by myself. I understand that no officer or representative of the company other than the president of the company, has the authority to enter into any agreement for the employment for any specified period of time or to make any agreement contrary to the foregoing, and that any such agreement must be in writing.