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Please Read Carefully Before Signing - APPLICANT'S CERTIFICATION AND AGREEMENT
I UNDERSTAND AND AGREE that, except as specifically prohibited by state law or town ordinance or regulation policies and
procedures do not create any property rights in employment; and that employment may be terminated by either the employee or the
Town with or without cause.
I CERTIFY that all information given out in this employment application, in related documents and in all interviews is true and correct.
I understand that the Town may make a thorough investigation of my character, reputation, past employment and other relevant history.
I authorize the giving and receiving of any such information requested by the Town including financial and credit records and hereby
relieve and release all former employers and their agents of any liability for any information they may give to the Town. I also authorize
educational institutions to furnish any records of my education, coursework and/or degrees granted while attending that institution. I
hereby waive any rights or claims I may have whether present developed or not against the Town or its agents or employees arising out
of or resulting from the release, authorized or unauthorized, of the following information received pursuant to or in connection with the
Town's handling, processing, investigation, etc., of my application for employment with the Town.
I UNDERSTAND that if hired, I will be placed on a 6-month probationary period. I further understand that if in accordance with the
Florida Statute §443.131(3)(a)(2), I am terminated for unsatisfactory work performance within 3 months, the employer's unemployment
account shall not be charged for any unemployment benefits paid to me.
I AGREE that if the Town employs me, a future potential employer may contact the Town or its representatives concerning my work
record and my work performance at the Town. I hereby consent to and authorize persons employed by the Town to divulge any and all
information they consider relevant to any person representing himself/herself to be an employer or potential employer of mine with
respect to my work record and/or performance of my job at the Town. I understand that all information provided herein is public record
and is subject to review upon request.
I AGREE to submit to any appropriate testing, including to determine the presence of alcohol or illegal controlled substances in my
body, under whatever policies or procedures the Town has in effect at the time testing is required. I AGREE to pre-employment testing
if requested and understand that failure to meet any job-related medical and/or health requirements for the position(s) may prevent
employment by the Town.
I UNDERSTAND that all employees who do not have a written employment contract with a limited and specified duration are employed
at the will of the Town and that all offers of employment are contingent upon successful completion of all background investigations;
which may include, but are not limited to, employer and non-employer references and, where applicable, pre-employment testing.
I UNDERSTAND that the Town will not tolerate sexual and any other form of unlawful harassment. I understand that I have the
affirmative obligation to report incidents and participate in any investigation as requested. I also understand that unlawful harassment
is grounds for disciplinary action up to and including immediate dismissal.
I UNDERSTAND that falsification of any information so given or other information that either singly or cumulatively, would tend to
negatively impact the hiring decision discovered as a result of any background check or investigation may be grounds for not hiring an
applicant or may subject me to immediate dismissal if employed.
I UNDERSTAND Pursuant to Chapter 119, Florida Statutes, job applications, employment files & records are considered public domain
open to inspection.
I AGREE that if hired by the Town, upon termination of employment, I shall return all Town property.
I UNDERSTAND that pursuant to the requirements of the Fair Credit Reporting Act, a consumer report may be made in connection
with my application for employment. If I am denied employment, either wholly or partly, because of information contained in a
consumer report, a disclosure will be made to me of the name and address of the consumer-reporting agency making such a report. I
will also receive a copy of the report and a statement of my consumer rights. I have read the above notice and understand what it means.
I hereby authorize the procurement of a consumer report for employment purposes at the time of my application or if hired at any time
during my employment with the Town.
Please verify for accuracy before submitting.
Applicant's Printed Name: ___________________________________________________
Applicant's Signature: _______________________________________________________ Date: _______________________
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