AUTHORIZATION AND AGREEMENT
I HEREBY AUTHORIZE YOU TO CONTACT:
MY PRESENT EMPLOYER(S) YES ____ NO ____
MY PAST EMPLOYERS: YES ____ NO ____
A
s part of our normal procedure in processing applications, a routine inquiry will be made concerning your
background. Former employers, school record offices and personal, school and employment references may
be contacted to verify and obtain information concerning your background, qualifications, school and work
records. Information gathered about your background and qualifications will be used to help make a fair
employment decision. This information will only be available to those participating in this decision or those
who process employment applications. As part of this investigation, a check of criminal records and motor
vehicle records will also be conducted.
I hereby authorize the employer, its representatives, employees or agents to conduct all pre-employment
inquiries and tests as described. I further authorize the employer and its agents to verify all statements
contained in this application and any other materials I submit in connection with my employment
application. I agree to complete any requisite authorizations forms. I release the employer, its agents and all
providers of information from any liability arising out of the gathering and use of such information. In the
event of employment, this authorization and release is valid throughout my employment and a photocopy is
as effective as the original.
I
understand all offers of employment are conditional upon satisfactory reference checks, successful
completion of all pre-employment tests and production of all documents necessary for the employer to
verify my identity and work authorization in accordance with the requirements of the immigration and
Naturalization Services.
I
understand Lamar County is a drug free workplace. Prior to employment I must submit to a pre-
employment drug test and if I am hired, I understand that I may be subject to drug testing in the future,
including random testing, pursuant to policies of Lamar County.
I
hereby agree, on request to undergo physical examination by a physician designated by Lamar County at
the County’s expense. I understand that any physical or medical exam will be post offer of employment. I
also agree to undergo future physical examinations that the county may require for continued employment.
I
certify that the information I have provided on this application is accurate and complete. I understand that
if employed, false statements on this application shall be considered sufficient cause for dismissal.
I understand the acceptance of this application by the employer neither expresses nor implies I will be
offered employment. I understand my employment is at will and I may resign at any time for any reason;
similarly, my employment may be terminated by the county at any time for any reason. Any changes to
this at-will employment agreement will not be valid unless in writing signed by me and a duly authorized
representative of this employing organization.
____
_______________________________________ ____________________________________
DATE SIGNATURE OF APPLICANT
L
AMAR COUNTY RECEIVES SEVERAL APPLICATIONS A DAY THEREFORE IT IS NOT
POSSIBLE TO CALL EVERY APPLICANT. IF YOUR APPLICATION IS CONSIDERED FOR
AN OPEN POSITION YOU WILL BE CONTACTED BY HUMAN RESOURCES.
