Authorization and Understanding

I represent that the answers and information given by me in this application are true and complete. I acknowledge that any false, inaccurate or misleading information may result in the revocation of any offer of employment, disqualification for further consideration for employment, or dismissal if I have been hired.
I authorize the Company to contact the people listed on this form for references and authorize these individuals to provide truthful information regarding my qualifications for employment. I also agree to waive liability against anyone named as a reference, provide that the information they supply is honest, factual and given without malice. I understand that any offer of employment to me will be contingent upon satisfactory results of a background check performed pursuant to the regulations of the Fair Credit Reporting Act.
I understand that this application for employment shall be considered active for a period of not more than sixty (60) days and only for the position for which it was submitted.
I consent to all legally permissible medical examinations and drug and alcohol testing required by the Company and I hereby consent to the release of any and all medical information as may be deemed necessary in judging my capability to do the work for which I am applying or for which I have been hired. I understand that any offer of employment will be contingent on satisfactory results of a drug and alcohol screen.
I understand and agree that employment with the Company is at will and that either I or the Company can terminate my employment and compensation, with or without cause, and with or without notice, at any time. I acknowledge that no representations, either oral or written, have been made to me that are contrary to this statement of at-will employment at the Company and that, to be effective, any such agreement would have to be in writing, signed by both me and the President of the Company.
I represent that I am free to enter into employment with the Company and that my employment with the Company will not violate the rights, including contractual rights, of any third party.
If hired, I agree not to commence any lawsuit relating to my employment or the termination of my employment with the Company more than six months after the date of termination of my employment. I acknowledge that the statute of limitations for some claims may be longer than six months, and I waive any statute of limitations contrary to this six-month period.

You are using an unsupported browser.