Please answer all appropriate questions completely and accurately. False or misleading statements during an interview or on this form are grounds for terminating the application process or, if discovered after employment, terminating employment.
Please do not submit more than one application every 90 days.
Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review. Depending on company policy and the needs of the job, you may be required to be examined by a medical professional designated by the company.
Please select all that apply below so we can better serve you and our employers.
I certify that I have read and understand this form and that the answers given by me to the foregoing questions and the 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 authorized the company and/or its agents, including consumer reporting bureaus, to verify any of this information. I release all former employers, persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy. I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.
