Applicant
Consent Form To Release Private
And Employment Information
I understand that in consideration
of my application with A Weltman
Plumbing & Heating, Inc., an
investigation may be conducted of
my past employment and activities
to ensure the business standards
and practices of this Company.
I authorize
past employers, personal references
and any other persons with whom
I am acquainted to answer all questions
asked concerning my previous employment
record, ability, character, educational
background, military service and
credit history. I release all persons,
including past employers credit
bureaus, and government agencies
from any liabilities or damages
for having furnished such information
in good faith.
I understand
that as a part of the processing
procedure for my employment application,
and investigative report by a consumer
agency or The Department of Motor
Vehicles may be requested concerning
my financial responsibility and
current driving record and character.
If I am denied a job based either
wholly or in part because of information
contained in these reports, I will
be provided the name and address
of the reporting agency that provided
the information.
In consideration
of my application for employment,
I hereby authorize A Weltman Plumbing
& Heating, Inc, and/or their
agents to conduct such a credit
report, and release A Weltman Plumbing
& Heating, Inc, and its agents,
including its officers, employees
and representatives from all liability
and/or responsibility for this investigation,
which may include, but is not limited
to the gathering of information
regarding personal, professional,
and educational references, credit
or consumer investigations, driving
history, civil, professional license
and any criminal history information
which may be in the files of any
State, local, or Federal criminal
justice agency.
I understand
that the information requested will
not be used to discriminate against
me in violation of any law. A Telephone
Facsimile (FAX) or photographic
copy of this authorization shall
be as valid as the original.
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Application
Agreement
I certify
that the answers given and the statements
made in this application are true
and complete to the best of my knowledge.
I also agree that falsified information,
misleading information and significant
omission may disqualify me from
further consideration for employment
and in the event of employment,
may result in my discharge.
I authorize
investigation of all statements
contained in this application for
employment as may be necessary in
arriving at an employment decision.
If employed by A Weltman Plumbing
& Heating, Inc., I agree to
abide by all of its policies and
procedures.
I understand
that if I accept employment at A
Weltman Plumbing & Heating,
Inc., I can terminate employment
at any time and can be terminated
at any time, with or without cause,
and that there is no contract, express
or implied, for continued employment.
Because
of the Company’s policy to
provide a smoke-free environment,
I agree to comply with the no smoking
rule while at work. I further understand
that A Weltman Plumbing & Heating,
Inc. is a drug-free workplace and
that I will be required to complete
and pass a drug screening before
I receive a job offer. I understand
that refusal to submit to the drug
screening test will constitute voluntary
withdrawal of my application for
employment.
