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Conviction Verification
Certification

“I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL” 

Authorization

“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 ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF THE COMPANY HAS ANY AUTHORITY O ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR TO MAKE NY AGREEMENT CONTRARY TO THE FOREGOING, UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED COMPANY REPRESENTATIVE"

 

“I UNDERSTAND THAT THIS ORGANIZATION HAS A COMMITMENT TO MAINTAIN AN ALCOHOL/ DRUG-FREE WORKPLACE AND UNLESS PROHIBITED BY STATE LAW, REQUIRES A DRUG SCREENING TEST AS A PART OF ITS SELECTION AND HIRING PROCESS. I UNDERSTAND THAT SUCH DRUG SCREENING WILL CONSIST OF THE TESTING OF A URINE SAMPLE OR OTHER MEDICALLY RECOGNIZED DEVICES DESIGNED TO DETECT TRACEABLE AMOUNTS OF A CONTROLLED SUBSTANCE IN MY BODY. IF AFTER A SECOND CONFIRMATORY TEST, IT IS DETERMINED MY SPECIMEN CONTAINS A CONTROLLED SUBSTANCE OR WAS ADULTERED OR SUBSTITUTED, I WILL BE DISQUALIFIED FROM CONSIDERATION FOR EMPLOYMENT AND ANY OFFER OF EMPLOYMENT WILL BE WITHDRAWN. I FURTHER UNDERSTAND AND AGREE THAT IF I AM EMPLOYED, I MAY BE REQUIRED TO SUBMIT TO ALCOHOL/DRUG-TESTING UNDER CERTAIN CIRCUMSTANCES DURING MY EMPLOYMENT. I HAVE READ, UNDERSTAND, AND AGREE TO THIS STATEMENT”

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