Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or
omissions may be cause for the rejection of my application and that if hired I may be released from employment.
I understand that the company may require me to successfully complete a pre-employment drug and alcohol test as a
condition of employment and that continued employment may be based on the successful completion of similar tests.
I understand that the company may as part of the hiring process request an investigative consumer report from a third
party entity or agency including information concerning my character, general reputation, personal characteristics,
credit records, and mode of living. I may make a written request to the company to provide me with additional
information regarding the nature and scope of any such report.
I understand that employment with your company is “at will” and nothing in the interview or hiring process, this
or your company policies are intended to create an employment contract between myself and the company.
Employment may be terminated by either party at any time for any reason with or without notice.