WAIVER AND UNCONDITIONAL RELEASE
(APPLICANT PLEASE READ CAREFULLY) EQUAL OPPORTUNITY EMPLOYER I AGREE TO COMPLY WITH ALL THE RULES OF THIS COMPANY. I HEREBY AFFIRM AND DECLARE THAT ALL THE FOREGO- ING STATEMENTS ARE TRUE AND CORRECT AND THAT I HAVE NOT KNOWINGLY WITHHELD ANY FACT THAT WOULD, IF DISCLOSED, AFFECT MY APPLICATION UNFAVORABLY. I HEREBY AUTHORIZE THE COMPANY TO CONDUCT ANY INVES- TIGATION IT DEEMS NECESSARY WITH RESPECT TO INFORMATION SET FORTH ON THIS APPLICATION. I ALSO HEREBY AUTHORIZE THIS COMPANY TO RELEASE SUCH INFORMATION TOGETHER WITH THEIR OPINIONS ON THESE MATTERS WITHOUT ANY LIABILITY FOR ANY DAMAGE WHATSOEVER CAUSED EITHER DIRECTLY OR INDIRECTLY BY GIVING OR RECEIVING SUCH INFORMATION OR OPINIONS. I AUTHORIZE ANY FORMER EMPLOYER, PRESENT EMPLOYER, SCHOOLS, COLLEGES AND UNIVERSITIES, UTILITY COMPANIES, CREDIT, FINANCE BUREAU/OFFICES, PERSONAL REFERENCES, AND/ OR OTHER PERSONS TO GIVE ANY INFORMATION THEY MAY HAVE CONCERNING MY CHARACTER, HEALTH, CREDIT, AND EMPLOYMENT RECORD. I HEREBY UNCONDITIONALLY RELEASE ANY NAMED OR UNNAMED INFORMANT FROM ANY AND ALL LIABILITY RESULTING FROM THE FURNISHING OF THIS INFORMATION. I UNDERSTAND THAT NOTHING HEREIN OR OTHERWISE SHALL BE DEEMED TO CREATE ANY CONTRACT OF EMPLOYMENT BETWEEN ME AND THE COMPANY AND THAT MY EMPLOYMENT MAY BE TERMINATED BY ME OR THE COMPANY AT ANY TIME WITHOUT ADVANCED NOTICE ONE TO THE OTHER. IN MAKING THIS APPLICATION FOR EMPLOYMENT, I ALSO UNDERSTAND THAT AN INVESTIGATIVE CONSUMER REPORT MAY BE MADE WHEREBY INFORMATION IS OBTAINED THROUGH PERSONAL INTERVIEWS WITH MY NEIGHBORS, FRIENDS, OR OTHERS WITH WHOM I AM ACQUAINTED. THIS INQUIRY INCLUDES INFORMATION AS TO MY CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS, AND MODE OF LIVING. I UNDERSTAND THAT I HAVE THE RIGHT TO MAKE A WRITTEN REQUEST WITHIN A REASONABLE PERIOD OF TIME TO RECEIVE ADDITIONAL, DETAILED INFORMATION ABOUT THE NATURE AND SCOPE OF THIS INVESTIGATIVE CONSUMER REPORT.
By submitting the application you agree that you understand the requirements of this position.
