I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification form my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should ve convited of a crime while my job abpplication is pending or during my employment, if hired.
I authorize this company to make an investigation of all information contained in this employment application and I release liabillity all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this applicaion or other required documents shall be considered sufficent cause for denial of employment or discharge.
I specifically authorize and direct my current and fromer employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company.
Upon termination of my employment for whatever reason, I release this company from all liablity for supplying any information concerning my employment to any potential employer.
I authorize this company, if applicable, to request a copy of my credit report, motor vehich driving record, and any other investigation report deemed necessary through various third party sources. As required by law, upon requests within a resonable period of time, I will be notified as to the nature and scope of such investigations.
I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment, in the event I recieve medical treatment for any condidtion, including a physical, psychological, emotional, or psychiataric condition that is job-related. I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician.
I hereby certify that all information I provided in this document is accurate and true to the best of my knowledge. I confirm that I have read and understood the reason why the Personal Information Collection Statement is required. I understand that data collected from this form will be used for recruitment and evaluation purposes only. All data will be strictly confidential.