| 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. |