I understand that, prior to being offered employment, I may be requested to take an employment
examination. In the event that I have a disability that will affect my ability to take the test, I will so inform
the Company prior to the test so that a reasonable accommodation can be made. The Company reserves the right to require medical documentation regarding the need for accommodation.
I understand and agree that if driving is a requirement of the job of which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside.
I certify that the facts contained in this application are true, accurate, and complete to the best of my
knowledge and understand that, if employed, falsified statements or omitted material facts on this
application may result in my disqualification from consideration for employment, or termination from
employment if I have been hired.
I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated with or without cause, at any time, with or without notice. This provision supersedes any oral or written representation to the contrary unless in writing and signed by both the President of the company and the person to whom the writing is directed.
I authorize investigation of all statements contained in this application for any employment-related purpose.
I release the listed references and all employers, except those specifically excepted,* to provide you with
any and all applicable information they may have. I hereby release these references and former employers
from all liability for any information they may give to the Company and waive any right that I might have
to be provided with notice that they are releasing this information, specifically any notice rights under the
Bullard-Plawecki Employee Right-to-Know Act.