I hereby certify that the information contained in this application and on my resume is true and correct to the best of my knowledge and agree to have any of the statements checked by the Company unless I have indicated to the contrary.

I authorize the references I present, as well as the other individuals who the Company contacts, to provide the Company any and all information concerning my pervious employment and any other pertinent information that they may have.

Further, I release all parties and persons from any and all liability for any damages that may results from furnishing such information to the Company as well as from any use of disclosure of such information by the Company or any of its agents, employees, or representative.

I understand that any misrepresentation, falsification, or material omissions of information on this application may result in my failure to receive an offer or, if I am hired, my immediate dismissal from employment.

I understand that this application form is intended for use in evaluating my qualifications for employment and that this application is not an offer of employment.

If hired, in consideration of my employment, I agree to conform to the rules and standards of the Company. I further understand that, if hired, my employment will be considered "at-will" and can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of the Company. I understand that no employee or representative of the Company, other than its CEO, has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the relationship unless the CEO and I both sign a written agreement that clearly and expressly specifies the intent to do so.

I agree that this constitutes an integrated agreement with respect to the at-will nature of my employment relationship, that it is final and fully binding, and that there are no oral, written, or collateral agreements regarding this issue.

I also understand that all offers of employment are conditioned on the provision of satisfactory proof of any applicant's identity and legal authority to work in the United States.

I certify that I have read and understand the applicant instructions included with this application and that the answers given by me to the foregoing questions and statements made by me are complete and true to the best of my knowledge and belief.

I understand that any false information, omissions, or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment.

I authorize the company and/or its agents, including consumer reporting bureaus, to verify any of this information.

I release the Company and all parties providing information to the Company about my background and experience from any liability whatsoever arising there from.

I also understand that the use of illegal drugs is prohibited during employment.

If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.

Note: "Under Maryland law, an employer may not require or demand, as a condition of employment, or continued employment, that an individual submit to or take a lie detector or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100."

MASSACHUSETTS APPLICANTS: "It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability."

RHODE ISLAND APPLICANTS: "The Company is subject to Chapters 29-38 of Title 28 of the General Laws of Rhode Island, and is therefore covered by the state's workers' compensation law."

I hereby certify that all statements made in this application are true and correct to the best of my knowledge and belief.

I authorize past employers, schools, persons and organizations having relevant information or knowledge representative for its use in deciding whether or not to offer me employment and specifically waive any required written notification.

I hereby waive employers, schools, persons and organizations from all liability in responding to inquiries in connection with my application.

Upon written request by me, within a reasonable period of time, SCAN will make available to me the nature and scope of all reports of every type obtained.

You are using an unsupported browser.