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Application for Employment
General Information
 
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Education

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College

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Previous Employment

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Professional References

Reference 1

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Reference 2

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Reference 3

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Military Service
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Disclaimer and Acknowledgement
The facts set forth in my application for employment are true and complete. I understand that if employed, any false statement given in my application or interview(s) may result in my dismissal. I also understand that prospective employees may be asked to satisfactorily complete or submit to a drug/alcohol screening or background check. I further understand that this application is not and is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. I understand and agree that my employment is at-will and can be terminated by either party with or without notice, at any time, for any reason or no reason. No one other than an officer of the Company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in a writing signed by an officer.
Pre-employment controlled substance testing is required when an applicant receives a conditional offer of employment. If an individual's controlled substance test is verified as positive, the applicant's offer of employment will be rescinded. Applicants may obtain the results of the controlled substance tests by requesting them from the Human Resource Office within 60 calendar days of being notified of the disposition of the employment application. Controlled substance testing is done by chemical analysis of an individual's urine. An individual will fail the controlled substance test if there is positive evidence of a controlled substance or drug metabolite in the urine specimen that is at or above the levels listed in federal guidelines. Controlled substances are marijuana, opioids, phencyclidine (PCP), amphetamines, cocaine, barbiturates, benzodiazepines, methadone and propoxyphene. A positive controlled substance test may be verified as negative by the medical review officer (MRO) if it is determined that legally prescribed medication(s), taken under the direction of a physician, is the cause for the positive test. If an applicant's confirmatory test results are positive, he or she may request re-analysis of the specimen. The applicant is responsible for payment of all costs associated with the re-analysis.
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