Disclaimer and Signature
In submitting this application for employment, I authorize investigation of all statements contained in it, and it is understood and agreed that any misrepresentation by me in this application may result in cancellation of the application and/or separation from the company’s service if I have been employed. I consent to the release to the company of any and all medical information as may be deemed necessary by the company in judging my capability to perform the work for which I have applied.
In consideration of any employment I agree to conform to the rules and regulations of the company. My employment and compensation can be terminated with or without cause and with or without notice at any time at the option of the company. I understand that no representative of the company except the general manager has any authority to enter into any agreement for any specified time or make any agreement contrary to the foregoing.
The company has an obligation to its employees, customers and the public to maintain a safe workplace and in the services it provides. I hereby give my consent to a medically supervised and licensed toxicology laboratory drug screening test which may include obtaining urine specimen, blood sample or other appropriate medical test as part of the normal pre-employment process and as a condition of employment
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.