Application for Employment and Request for Background Information
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This institution does not discriminate in hiring or in any other decision on the bases of race, color, sex, citizenship, national origin, ancestry, Vietnam Era Veteran Status, or on the bases of age or physical or mental disability unrelated to the ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination.
I understand that my employment is at-will and that either party is free to terminate the employment relationship at any time without cause. I also understand that my employment may be terminated for any misstatement or omission of fact appearing on this application.
If employed, I will be required to complete an Employment Verification Form (I-(0, and within three (3) days, show satisfactory evidence of identity and eligibility for employment.
In connection with this request, I authorize all corporations, companies, credit agencies, educational institutions, persons, law enforcement agencies, and former employers to release information they may have about me and release them from any liability and responsibility for doing so; further, I authorize the procurement of an investigative consumer report and understand that such report may contain information as to my background, mode of living, character and personal reputation. Further information may be available upon written request within a reasonable period of time.