List your current job first. Your current job will not be called without your permission.
INCLUDE A COPY OF VERIFICATION WITH THIS APPLICATION
References: List three jewlery-related business associates we can call for reference:
Please read this section carefully and acknowledge your understanding by signing your name in the space provided below.
Certification of accuracy and completeness. I certify that the information contained in this application and in any resume provided by me or by any party representing my interests is correct and complete to the best of my knowledge. I understand that any falsification or willful omission of fact made in this application or in connection with any background investigation may be sufficient grounds for rejection of this application, or, if discovered after an offer of employment, for immediate dismissal.
Consent to conduct background investigation. In consideration for Dana Augustine, Inc.’s (hereinafter, “DAI”) consideration of this application, I give permission to DAI to investigate my personal and employment history and to discuss the results of such an investigation. I understand that this background investigation will include, but not be limited to, verification of all information on this application, obtaining a credit report if necessary, and conducting interviews with past employers.
Consent to contact past employers. I give permission to DAI to contact current and previous employers (except those specifically excluded as follows: ) listed in this application for references. I also give permission to all current and previous employers (or managers or supervisors thereof) to discuss with DAI my relevant personal and employment history. I consent to the release of such information orally or in writing and hereby release them from all liability and agree not to sue them for defamation or other claims based upon any statements they make to any representative of DAI. I further waive all rights I may have under state law to receive a copy of any written statement provided by any of my former employers to DAI. I agree to indemnify all past employers and DAI for any liability they may incur because of their reliance upon this release.
Consent to contact government agencies. I give permission to any agent, attorney or representative of DAI to receive a copy of any information obtained in the file of any federal, state or local court, governmental agency, law enforcement agency or investigator concerning or relating to me. I further consent to the release of such information and waive any right under state law concerning notification of the request for a release of such information. In the event a state law does not provide for prospective employers to have access to information, I hereby delegate DAI as my agent for receipt of information. I understand that the scope of this investigation will be limited to criminal and/or civil records that relate to my honesty, integrity and/or abilities.
Cooperation with investigation. I agree to fully cooperate with DAI’s background investigation and to sign any waivers or releases that may be necessary to obtain access to relevant information. In the event that any former employer or federal, state or local governmental agency will not release reference information or criminal history information directly to the employer, I agree to personally request such information to the extent permitted by law.
Employment at will. In consideration of my employment by DAI, I agree to conform to the rules and regulations of DAI, and my employment and compensation is “at will.” If I am hired, I understand that I am free to resign, with or without cause, by giving two weeks’ written notice, and DAI reserves the right to terminate my employment at any time with or without cause and without prior notice except as may be required by law.
There is no specified duration of employment. Acceptance of your application for employment will not constitute an agreement or contract of employment, nor does such acceptance provide for employment for any specified period or definite duration. If such a specific contract is to be made, it must be made in writing between me and DAI. I understand that only the President of DAI has the authority to contract for or enter into any agreement for employment for any specified period of time, and any promises to the contrary will only be relied upon by me if they are in writing and signed by the President of DAI.
Not an employment agreement. This application does not constitute an agreement or contract for employment. I understand that no representative of DAI, other than a specifically authorized officer, has the authority to employ me for “at will” employment.
Disability. I understand that it is the company’s policy not to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA.
Proof of Identity. I also understand that if I’m hired, I will be required to provide proof of identity and legal work authorization.
Additional documents, information, or certifications. I understand that additional documents, information, or certifications may be required from me for consideration of my employment application. I agree to provide these upon request from DAI as part of its review process to consider me for employment. All of the terms and conditions above stated will apply to such additional items. Your signature acknowledges you have completely read and reviewed all of the above, and that you fully agree to the terms and conditions as stated above.