Authorization
I certify that the information provided within this application is accurate and complete to the best of my knowledge and I understand, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I will consent as part of the pre-employment screening to undergo a criminal background check and urine drug screen, as well as, license or certification verification.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make and agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and/or other relevant federal and state laws.
