REFERENCES: Please list the name and address of three individuals, other than relatives, whom we may contact for a
1. Name Address
2. Name Address
3. Name Address
SANDUSKY COUNTY LAND REUTILIATION CORPORATION is an equal opportunity employer and selects the best
matched individual for any job based upon job related qualifications, regardless of race, color, creed, sex, national origin,
age, handicap or other protected groups under state, federal or local Equal Opportunity Laws.
1) I understand and accept that if any information required in this application (and attached resume, if any) is
found to be falsified or intentionally excluded, my application may be disqualified from further consideration. I
further understand and accept that, if I am employed by the Employer, I may be subject to disciplinary action,
including termination, if any information required by this application has been falsified or intentionally
2) I understand and accept that Sandusky County Land Reutilization Corporation will make a thorough investigation
of my entire work history and may verify all data given on my application for employment, related papers, or oral
interviews. I authorize such investigation and the giving and receiving of any information requested by Sandusky
County and I release from liability any person giving or receiving any such lawful information. I understand the
falsification of data so given or other derogatory information discovered as a result of this investigation may
prevent my being hired.
3) I understand and accept If offered a position, I agree to authorize my physician or hospital to release any
information which may be necessary to determine my ability to perform the essential functions of a job for which
am being considered, prior to employment or in the future during my employment with Sandusky County Land
4) I understand and accept, although management makes every effort to accommodate individual preferences,
business needs may at times make the following conditions mandatory; overtime, shift work, a rotating work
schedule, or work schedule other than Monday through Friday. I understand and accept these as conditions of
my continuing employment.