| I certify that the statements I have made are true and correct and without material
omission. I understand that making false statements or omitting pertinent facts is
sufficient cause for rejection or dismissal from employment. I authorize obtaining
information from any person(s), employers, educational institutions, licensing
authorities, and/or law enforcement agencies concerning my background, work habits, skill
or conduct on the job, with the exception of past employer(s) I have indicated that are
not to be contacted. I hereby release such person or entities from all liability for
damages for issuing such information. When I am employed I agree that if at any time I
make claims for personal injuries, I will submit myself, upon written request, to
examination by a physician or physicians of employer's selection, at employer's expense,
as often as may be requested.
I also agree that if I am employed, now or at any time in the future, my employment may
be terminated at any time without liability to me for wages or salary except for such
wages or salary which I earned prior to the date of my termination. I understand the term
of my employment shall be limited to the duration of any assignment
that I accept.
I am aware that Public Law 91-508, known as the Fair Credit Reporting Act, requires the
employer to inform me that a routine inquiry may be made that will provide applicable
information concerning my character, my general reputation, my personal characteristics
and my credit history. Upon written request, I will provide additional information as to
the nature and scope of the inquiry or any report which is produced.
I understand that I am applying for temporary or contract assignments. The completion
of the this application process shall constitute a conditional offer of employment subject
to my availability and the availability of customer assignments calling for the skill and
qualifications that I possess, and I agree to consider acceptance of such assignments. |
This Company is an equal employment opportunity employer. We adhere to a policy of making
employment decisions without regard to race, color, religion, sex, sexual orientation,
national origin, citizenship, age or disability. We assure you that your opportunity for
employment with this Company depends solely on your qualifications. |