Personal
Employment Desired
Education
Past and Present Employers
List below all present and past employment, beginning with your most recent.
Military
References
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Emergency Contact
Additional Information
** California applicants only: Applicants need not identify convictions that have been sealed, expunged dismissed or other eradicated by statute or court order, or any information pertaining to referral to and participation in any pre-trial diversion program. Applicants may omit any marijuana-related conviction that is more than two years old; any which was finally settled in juvenile court or referred to the youth authority; any misdemeanor conviction for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed pursuant to the Penal Code §1203.4.
** Georgia applicants only: You may exclude any conviction that has been discharged under the First Offender’s Law.
**Oregon applicants only: Do not respond to this question. Note, however, that if you proceed in the hiring process you will later be required to disclose convictions.
APPLICANT'S AUTHORIZATION AND ACKNOWLEDGMENT OF CONDITIONS
Please read the following terms and conditions that govern employment at ESSCO
TRUTHFULNESS OF APPLICATION INFORMATION: All the information provided by me in support of my application for employment is true and complete. Any false information, misrepresentation, or material omission may result in discipline or discharge.
AUTHORIZATION OF DISCLOSURES: The Company may verify all information about this application. I authorize all individuals and organizations named in this application to provide verification information, including their opinions about my performance and me. I further authorize them to release any information from my personnel record, including my prior disciplinary record, to Company without any written notice to me of that disclosure. I release Company and these individuals and organizations from any liability that may result from the verification process or the disclosure of my personnel record.
I hereby consent to pre- and/or post-employment drug screen as a condition of employment, if required. I authorize the physician or clinic to release to Company results of any physical examination and drug test. I waive any claims based on the physical examination, drug test, and the release of the examination and drug test results to Company. I waive any claims based on any of these inquiries and disclosures. I also release Company from any liability based on the inquiries and disclosures.
AT-WILL EMPLOYMENT: IF HIRED, I AGREE: 1. My employment with the Company is on an at-will basis. The Company may terminate my employment at its will for any reason or no reason, with or without cause, at any time, with or without advance notice or warning. 2. To abide by all rules and regulations of the Company.
DOCUMENTATION AND CERTIFICATION OF AUTHORIZATION TO WORK IN USA: I certify that I am legally authorized to work in the United States. I understand that any offer of employment is conditional upon my ability to provide documents required by federal law proving both my identity and authorization to work in the U.S., and that failure to produce the documents will result in revocation of the offer or the termination of employment.
I understand that the authorizations and acknowledgements above state terms and conditions governing my employment with Company and that my signature below indicates that I have read the terms and conditions stated above and accept them.