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Yard Laborer - Beavercreek, Ohio
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A & A Safety Inc.

Fair Credit

In accordance with the provisions of Section 604(6)(2)(A) of the Fair Credit Reporting Act, Public Law 91-508, as amended by the Consumer  Credit Reporting Act  of 1996 (Title II, Subtitle D, Chapter I, of Public Law 104-208), you are being informed that reports verifying your previous employment, previous drug and alcohol test results, and your driving record may be obtained on you for employment purposes.  These reports  are required  by Sections 382,413,391.23, and 391.25 of the Federal Motor Carrier Safety Regulations.

Information provided by you on this form will be used exclusively to obtain information in connection with an investigation to determine your (1) fitness for employment, and/or (2) clearance to perform services for our company.

Except as disclosed above, the information on this form may not be used as part of our overall hiring decision.

I certify that all the information I have supplied on this application is true, accurate, and complete to the best of my knowledge, and that I have not knowingly withheld any information which, if known to the company, would affect my application unfavorably. I understand that any false, misleading and/or incomplete statements on this application and/or in any interview, constitute sufficient cause for the company not to employ me, or if I am employed, to terminate my employment. 

I authorize an investigation to be conducted concerning all of the information I have supplied on this application, and all other information which the company deems to be relevant to my qualifications for employment. I further authorize my present employer, any former employer, any educational institution, any law enforcement organization, any consumer reporting agency, any professional or personal reference, or any other appropriate source or individual to provide all information that is requested in connection with such investigation. I understand that if an investigative report is requested from a consumer reporting agency, I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure or the nature and scope of the investigation requested. I release the company and all named and unnamed sources from any and all liability which may result from furnishing information concerning me. 

This employment application will be considered active for ninety (90) days from the date below. If I want to be reconsidered for the position with the company after this time, I will fill out a new application.

I agree to take any lawful examination or test, including any drug and/or alcohol test required by the company as a condition of my being hired, or if I am hired, as a condition of my continued employment. I further agree that my refusal to take any such lawful examination or test ill constitute sufficient cause for the company not to employ me, or if I am employed, to terminate my employment. I release the company and all other named and unnamed sources from any and all liability which may result from any lawful examination or test. 

If I am employed, I agree that in consideration for my employment, I will conform to the rules and regulations of the company. I understand that those rules and regulations may be altered, amended or repealed by the company at any time, at the company's sole option and without any prior notice to employees. 

I acknowledge that if I am employed, my employment and compensation can be terminated at any time, with or without cause or notice, at the option of either the company or myself. I understand that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, to assure any benefits or terms and conditions of employment, or to make any agreement contrary to the foregoing. 

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