This application must be completed fully in order to you to be considered for employment. You will also be asked to certify that all information contained in this application is correct and authorize any agent or employee of LMCS to verify this information and to release it to anyone within LMCS who may wish to consider me for appointment. Intentionally providing false information on this form or attachments is a violation of state law. Applications submitted electronically, via e-mail or similar media, are not valid unless you enter your name in the designated signature field below.
If you are unable to complete the online application you may download the Employment Application in Adobe format (.pdf). Once completed, you can either submit in person at 501 Mize Street in LaFayette, GA or send by electronic mail to email@example.com.
In order that LMCS can best evaluate your qualifications, you must give permission for LMCS to investigate all references and to secure reference check information in order to arrive at a hiring decision. You authorize all persons, institutions, organizations and companies to furnish any and all information sought and waive any legal requirement to provide notice to you regarding reports, records or information given or received in accordance with this authorization. By agreeing, you hereby release and hold harmless LMCS, its agents, employees, and assigns from any claim of liability you may have against it and /or their employees for decisions, even if adverse, arising out of information received in response to the reference check. You authorize any person or entity to whom this reference check is presented to release any information required to LMCS, its agents, employees, or assigns.
If an employment offer is extended you may be required to complete a pre-employment drug test. You are advised that if you are offered employment the offer will be withdrawn and you will be disqualified from employment at LMCS for a period of two (2) years from the date of testing or refusal to test if you:
· expressly decline to submit to testing; fail to appear for drug testing as directed; engage in conduct that clearly abstracts the testing process;
· fail to provide, adequate urine for drug testing without a valid medical explanation: provide a urine sample determined by the testing laboratory to have been adulterated;
· or, test positive for the use of an illegal drug(s).