Please list three Professional References.
Please fill in the times of the individual days of your availablitiy to work. Fill in the time under From and To, and click on the according a.m. and p.m. for that time.
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 changes as directed by my director or supervisor or Executive Director of JLR&CS or his/her designee.
Equal Employment Opportunity
This Agency is dedicated to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, ancestry, national origin, citizenship status, age, pregnancy, handicap or disability, genetic information or condition, sexual orientation, gender identity or expression, military status or status as a veteran, in accordance to applicable laws. In addition, the Agency complies with applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation benefits, and training.
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that the Agency is relying on my complete honesty. I understand that any inaccuracy, misrepresentation, or incomplete answer provided by me in this application will cancel the application or may result in termination if I have been employed.
I understand that, as a condition of employment, the Agency must conduct and receive favorable results of a thorough pre-employment investigation, and periodic investigations throughout employment. These investigations include, but may not be limited to, current employer reference checks, former employer reference checks, personal reference checks, criminal record checks, drug testing, credit bureau reports, financial institution account verification checks, physical examinations, and a review of my driving record if I am applying for a position that involves driving.
I hereby authorize the Agency to conduct these investigations to obtain any requested information, and to update this information, and to investigate all statements made by me in this application. I hereby direct former employers, all references, individuals, and all applicable government agencies to respond to the Agency’s questions concerning my application for employment. I understand that the information released or provided is for business use by the Agency to supply my employment record, in whole or in part, to any prospective employer, government agency, or other party with a legal or proper interest. I release the Agency, these parties and any individual, including record custodians, from any and all liability for any damage that may result from furnishing the requested information or any of my personal records.
I am not subject to a covenant-not-to-compete agreement, or any other work restricting agreement. I agree to indemnify and hold the Agency harmless for any damages and legal expenses in the event that this representation and warranty is or becomes false. I agree not to use any confidential or proprietary information from prior employment in my employment with the Agency and agree not to disclose any information I am contractually or otherwise legally bound to keep confidential.
Employment At Will
I understand that if I am employed by the Agency, I will be an employee at will. My employment can be terminated at any time by me or the Agency, with or without notice, and with or without reason, in accordance with the Laws of the State of Ohio. The terms and conditions of my employment, my compensation, and my benefits may be changed at any time by the Agency. Any oral statements or promises to the contrary are not binding on the Agency. If hired, I will comply with all rules and regulations of the Agency.