PLEASE READ EACH STATEMENT CAREFULLY
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I hereby certify that the information that I have provided in this application is true and complete to the best of my knowledge. I understand that any false statement, misrepresentation, or omission of fact made in this application for employment may disqualify me from further consideration for employment and if I am hired may result in my dismissal if discovered at a later date.
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I understand that in making this application for employment an investigative consumer report may be requested from a consumer-reporting agency. This report may include information as to my character, reputation, personal characteristics and mode of living obtained through personal interviews with neighbors, friends, former employees, educational institutions, and others. I understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of the investigation.
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I authorize the investigation of ANY or ALL statements and information that is contained in this application for employment and I also authorize ANY or ALL past employers, educational institutions, consumer reporting agencies, governmental agencies, persons listed as references, and any other person or organization to provide information that verifies the information contained on the application or that may be helpful in making a hiring decision. I agree to release from all liability and hold harmless ANY and ALL parties providing such lawful information.
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I understand that if I am offered a position that my employment will be contingent upon my signing a mutual agreement to arbitrate claims and a confidentiality agreement on or before my first day of employment.
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I understand that as a condition of employment I will be required to successfully pass a drug screen that will require that I consent to provide a urine sample for analysis. I hereby consent to a drug screen on a pre-employment or post employment basis at the discretion of the company.
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I hereby understand and acknowledge that, unless otherwise defined by
applicable law, any employment relationship with this organization is
of an "AT WILL" nature, which means that I may resign at any time and
the Employer may discharge me at any time with or without cause. It
is further understood that this "AT WILL" employment relationship may
not be changed by any written documentation or by conduct unless such
change is specifically acknowledged in writing by an authorized executive
of this organization.
I Accept
I Don't Accept