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.
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 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. |