By signing below, I certify that I have read, understand and agree to each of the
I acknowledge that by completing and submitting this application to your company,
there is no guarantee of an interview or job offer. I also understand that my application
may be considered with others who have applied for the same position, and that your
company may interview and/or hire applicants whose qualifications most closely meet
the position requirements.
I affirm that all of the information I have supplied on this application is true,
accurate and complete to the best of my knowledge, and I have not knowingly withheld
any information which, if known by your company, would affect my application unfavorably.
I acknowledge that if I am hired your company, and if your company discovers at
any time during my employment that any of the statements or answers on this application
are false, misleading, or incomplete, I may be dismissed immediately from my job.
I agree to submit to a medical examination, which may include testing for drugs
or alcohol prior to beginning work with your company. I understand that if I am
employed by your company, I may be required, when consistent with your business
needs and employment handbook, to undergo a medical examination including drug and/or
I acknowledge that if I am hired, I will be required to abide by all of your company’s
rules and regulations. I also understand that your company is a smoke free environment.
I understand that nothing in this employment application creates an express or implied
contract of employment between your company and me. If I am hired by your company,
my employment and compensation are "at will", which means that my employment
can be terminated, either by your company or me, with or without cause, and with
or without notice. I understand that if I am hired, none of your managers or supervisors
have authority to make an express or implied employment contract with me, either
orally or in writing, that changes or alters the "at will" nature of my
I agree to release to your company and/or its designated agents all medical information,
including but not limited to files, reports, x–rays, evaluations, and opinions held
by medical personnel, to the extent such information is job–related and consistent
with your company’s business needs. I acknowledge that this is a general release
and that if hired, it remains in effect for the duration of my employment.
In the event of my personal indebtedness to your company, I authorize your company
to withhold from my wages such amounts as permitted by law to satisfy my obligation
to your company.
I give my permission to conduct any investigation regarding the information contained
in my employment application, which your company determines is necessary to verify
my qualifications for assuming a job with your company. I give your company my permission
to contact any of the following: Former employer, school, college or university,
any personal or professional reference, or any other appropriate source or individual
for the purpose of gathering any information, personal or otherwise, that such sources
may have about my character, general reputation, education or employment record,
criminal background, and/or credit history. I give my consent to any such source
to release to your company whatever information they have about me. I also unconditionally
release all named and unnamed sources from any liability that might result from
furnishing any information about me.
I authorize Top Echelon Contracting, LLC, to investigate my background. I acknowledge that reference checks will involve the collection of various sources of information, including, without limitation, current and former employers’ records, educational records, and professional & personal references. I request, authorize, and consent to the release and disclosure of any and all information, about me to Top Echelon Contracting. I understand that these reports may contain information about my background, mode of living, character, personal characteristics and general reputation. I also unconditionally release all named and unnamed sources from any liability that might result from furnishing any information about me.
This authorization in original or copy form shall be valid from the date indicated next to my typed name until the termination of my employment with Top Echelon Contracting.
I certify that by typing my name below I have read and agree to the terms above.