I hereby consent to submit to urinalysis and/or other tests as shall be determined by Journeys in the selection process of applicants for the purpose of determining the drug content thereof. 

I agree that I will submit voluntarily to a urinalysis test at a lab chosen by Journeys for analysis. 

I further agree to and hereby authorize the release of the results of said tests to Journeys.

I understand that it is the current illegal use of drugs and/or abuse of alcohol that prohibits me from being employed at Journeys. 

I further agree to hold harmless Journeys and its agents from any liability arising in whole or part out of the collection of specimens, testing and use of the information from said testing in connection with Journeys' consideration of my employment application. 

I further agree that a reproduced copy of this pre-employment 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. 

Witness: __________________________________________________

(For Journeys' use only)

 

Witness Signature: _______________________________________________

(For Journeys' use only)

APPLICANT: You must enter your email address and sign this form using Adobe Sign below for us to receive your form. After you submit this form, you will be automatically redirected to our Employment home page to continue signing any other needed forms.