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Qualified applicants are considered for employment without regard to race, color, religion, gender, national origin, age, mental or physical disabilities, marital status, veteran status, sexual orientation, gender identity and/or expression, genetic information, or any other characteristic protected by applicable law. All employment decisions shall be consistent with the principles of equal opportunity employment. Accommodations to enable all individuals to participate in the application process may be provided upon advance request.
I hereby certify that the information contained in this employment application is truthful, accurate and complete to the best of my knowledge. I understand that material omissions or falsification of this application in any detail may result in my disqualification from consideration for employment or for dismissal from employment.
I understand that my employment is subject to a satisfactory check of references. I authorize representatives of COMPANY to contact educational institutions, state and federal agencies (to conduct driving record and other records checks and verifications) and employers designated in this Application for purposes of verification and investigation of my educational, driving record, and employment background and performance. I authorize representatives of COMPANY to contact state and federal agencies to conduct criminal history records checks that are in compliance with any federal, state, or local statutes or regulations pertaining to such background checks. Such individuals and organizations are authorized to release such information as may be requested by a COMPANY representative. I hereby release all such persons from liability or damages incurred as a result of furnishing such information. I understand that an unsatisfactory reference shall be grounds both for rejecting my Application for employment and, should I be hired by COMPANY, termination of my employment.
I understand that I may be required to undergo drug testing that complies with DOT or State requirements as a condition of my employment.
Please be aware that COMPANY is required to report New Hire information to the state in which the employee works within the required state time frame. COMPANY complies with this legal requirement.
I certify that I am neither suspended nor excluded from participation in Medicare of state health programs under provisions of sections 1128 or 1156 of the Social Security Act.
I understand that upon offer and acceptance of a position with COMPANY I will be required to immediately furnish documentation establishing my identity and eligibility to be legally employed in the United States.
I understand that submission of this application does not entitle me to be interviewed by COMPANY. Further, nothing in this Application or in the employment evaluation process shall be construed as either an offer of employment or an obligation on the part of COMPANY to provide any benefit to me. This Application shall be pending, unless withdrawn by me, until COMPANY makes a decision on whether or not to hire me or until the 60th day after submission of this application to COMPANY, whichever occurs first. If no action is taken on my Application within a 60-day period, I understand that I must re-apply to COMPANY in order to be considered for employment.
I understand that COMPANY is in no way obligated to provide employment, and also that I am in no way obligated to accept employment, if offered. This application does not bind either party, and the statements contained herein do not constitute and should not be interpreted to constitute any sort of contract of employment for a specific period of time.
After reading all of the terms of this application. I hereby affirm that I understand and agree to the provisions of the same. I agree to conform to COMPANY’s rules and I also agree that I shall be subject to other conditions, which COMPANY may adopt. I affirm the information in this application is true and complete, and any intentional deception herein may be considered sufficient cause for dismissal.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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