I certify that all information I have provided in order to apply for and secure work with this employer is true, complete, and correct.
I expressly authorize, without reservation, the employer, its representatives, employees, or agents to contact and obtain information from all references
(personal and professional), employers, public agencies, licensing authorities, and educational institutions and to otherwise verify the accuracy of all
information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer,
its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment
process and all other persons, corporations, or organizations for furnishing such information about me.
I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or
eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state, or federal law.
I understand that this application remains current for only 60 days. At the conclusion of that time, if I have not heard from the employer and still wish
to be considered for employment, it will be necessary for me to reapply and fill out a new application.
If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same
right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application
does not constitute an agreement or contract for employment for any specified period or finite duration. I understand that no supervisor or representative
of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contract to the foregoing express
language are valid unless they are in writing and signed by the employer's president.
I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal
immigration laws require me to complete an I-9 form in this regard.
I understand that reasonable safeguards will be taken to protect all personal information provided or obtained in conjunction with this application for employment.
My personal information may be shared with the employer's affiliate(s) and third parties engaged by the employer to perform services for the employer. Any personal
information shared with an affiliate or third party is to be used solely to perform the services requested by the employer.
This company does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or
excluding an applicant from consideration for employment on the basis of his or her sex (including pregnancy), race, color, religion, national origin, citizenship,
age, disability, genetic inforamtion, or any other protected status under applicable federal, state, or local law.
Mandatory Employer Disclosures
Notice to Maryland applicants: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE 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.
Notice to 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 liabilities.
Notice to Rhode Island applicants:
This company complies with Rhose Island law prohibiting smoking in enclosed areas within places of employment.
Notice to North Dakota applicants:
This compant complies with North Dakota law prohibiting smoking within 20 feet of entrance and inside places of employment.
Notice to Indiana applicants:
This company complies with Indiana law prohibiting smoking in enclosed areas within places of employment.
Notice to Illinois applicants:
Please be advised pursuant to Illinois law, applicants are not obliged to disclose expunged juvenile records of adjudication, arrest or conviction.
I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (i)
eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer's service, whenever it is discovered.