DISCLOSURE STATEMENT
This company does not discriminate in hiring or any employment practice on the basis of race, color, religion, sex, national origin, sexual orientation, pregnancy status, ancestry, age, or citizenship status nor does this company discriminate against any employee or candidate for employment because of veteran status or physical or mental disability. No question on this application is intended to secure information to be used for such discrimination. If you feel that you have been discriminated against in any prohibited manner during the selection process, please ask to speak to someone in Human Resources in order for the matter to be investigated further.
STATEMENT OF AGREEMENT
I certify that the answers given herein and during an interview are true and complete to the best of my knowledge. I authorize the investigation of all matters contained in this application and hereby give the employer permission to contact schools, previous employers, references, and all others, and hereby release the employer from any liability as a result of such contact, unless otherwise noted in this application. I understand that misrepresentation, omissions of facts, or incomplete information requested in this application may remove me from further consideration for employment or may result in dismissal should I be employed.
I hereby acknowledge that I have read the foregoing statement and understand the contents.
It is agreed and understood that this Application for Employment in no way obligates this company to employ me and that any offer of employment is subject to the terms and conditions stated on this application form. I agree and understand that my employment is for no definite duration and may be terminated at will by either the company or me. It is agreed and understood by me that participation in any of the benefits programs of this company does not create a contract of employment. Additionally, any statements in the Company’s employee handbook does not create a contract, the employee handbook should not be construed as a contract and cannot create a contract of employment for any definite duration. I agree and understand that only the President has the authority to establish a contract of employment with me and that any such contract must be in writing, designated as an employment contract, and signed by both parties.
If required for the position for which I am applying, I will consent to a post offer pre-employment physical examination and blood or urine analysis at the company’s expense. (Note: this analysis may test for controlled substances.) I understand that if I falsify responses to medical inquiries, including my history of worker’s compensation claims, I may be terminated from employment and precluded from receiving worker’s compensation benefits and/or unemployment benefits. Further, I understand that any employee or former employee who makes knowingly false or fraudulent material statements or misrepresentation for the purpose of obtaining worker’s compensation benefits may be guilty of felony.
If hired, I pledge to abide by the company’s policies concerning equal employment opportunity and prohibition of unlawful harassment. Further, I promise to immediately report any violation of such policies in the manner set forth in those policies.
In the event of my employment, any company materials entrusted to me during the course of my employment will be returned to the company on the last day of my employment, whether I resign or am terminated. I agree and understand, that should I be employed, I will not at any time or in any manner, either directly or indirectly, divulge, disclose or communicate to any person, firm or corporation in any manner whatsoever any confidential information concerning any matters affecting or relating to the business of the Employer, including, without limiting the generality of the foregoing, any of its customers, its services or products, its manner of operation, its plans or other “proprietary information.” This does not include disclosures protected under the NLRA. I understand that I may be asked to sign a confidentiality agreement consistent with this paragraph as a condition of employment.
I understand that this application will only remain active for consideration for 60 days.