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APPLICANT NOTE: This application form is for use in evaluating your suitability for employment. Please answer all appropriate questions completely and to the best of your ability. False statements are grounds for refusal or termination of employment and benefits. Federal law provides penalties for false statements on documents related to U.S. employment eligibility. The company reserves the right to determine an applicant’s eligibility for employment or termination of employment while governed by state and federal statutes regarding equality without discrimination of sex, creed, race, natural origin, religious preference, or disability. A background check is required before employment.
CERTIFICATION AND RELEASE: I certify that I have read and understand the Applicant Note above and that the information and statements provided by me are complete and true to the best of my knowledge and belief. I authorize the company and its agents, including consumer reporting bureaus, to verify any of this information including, but not limited to, criminal history and motor vehicle records. I also understand the use of illegal drugs is prohibited during employment. Illegal drugs means any drug which is not legally obtainable or which is legally obtainable but has not been legally acquired or administered.
This agency is an equal opportunity employer dedicated to an employment policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability, or national origin.
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