Do not answer this question unless you have been informed about the job requirements for the job for which
you are applying.
(Start with your present or last job. Include any job related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status)
As a condition of employment I understand that I may be required to take and pass a drug and or alcohol screen in any or all of the
Pre-employment - For cause - Random selection
I UNDERSTAND THAT EMERGENCY CONDITIONS MAY REQUIRE ME TO TEMPORARILY WORK SHIFTS OTHER
THAN THE ONE FOR WHICH I AM APPLYING AND AGREE TO SUCH SCHEDULING CHANGE AS DIRECTED BY MY
DEPARTMENT HEAD OR ADMINISTRATOR OF THIS INSTITUTION.
I voluntarily give this institution the right to make a thorough investigation of my past employment and activities, agree to cooperate in such investigation and release
from all liability or responsibility all persons, companies or corporations supplying such information.
I understand that, if I become employed, I will be an employee at will, which means that I or my Employer may terminate my employment at any time for any reason,
with or without cause, and with or without notice. I understand that I will be required to follow the Employer’s personnel policies and rules. I have fully, completely,
and accurately completed this application form. I understand that I may be terminated for any misstatement or omission of fact appearing on this application form.
I further understand that this institution follows the “fair employment practice code” and there is no discrimination in the hiring of individuals based on sexual
orientation, sex, race, religion, age, or physical or mental handicap unrelated to ability to perform the work required.
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