Applicant Statement
I hereby authorize this employer to investigate the information I have furnished herein and I release all parties from all liability for any damages that may result from furnishing such information, personal or otherwise to this employer. I also hereby release all parties from any obligation to provide me with written notification of disciplinary actions which may be included in such information. I understand that any false answer or statement made by me in this application or other required documents shall be considered sufficient cause for denial of employment or discharge and that any employment or job offer is conditional upon passing a medical examination after a job offer has veen made if requested. I agree to conform to the rules and regulations of the employer and understand that nothing contained in this employment application is intended to create an employment contract between the employer and myself. I further understand my employment can be terminated with or without cause, and with or without notice at any time by myself or the employer and that wages, benefits and rules and regulations are subject to change by the employer at any time with or without notice to me and nothing contained in any publications or statements to the contrary shall in any way modify the above terms unless a written document signed by an authorized representative of the employer. In partial consideration for my employment, I shall not commence any action or other legal proceeding relating to my employment or termination thereof more than 6 (six) months after the event.
DO NOT SUBMIT FORM UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
By clicking the submit button, I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.