Employee Application


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Applicant Information


 

Education

 


Previous Employment


Professional References



 

APPLICANT'S CERTIFICATION AND AGREEMENT

PLEASE READ CAREFULLY:

1. Certification of Truthfulness.

I certify that all statements on this Application for Employment are accurate and truthful and agree that such statements may be investigated.  If found to be false or inaccurate, it shall serve as cause for not being employed or immediate termination if employed.

 

2. Records Check.

I authorize YBC to obtain “consumer reports” about me. I understand that the scope of the “consumer report” may include, but is not limited to the following areas: verification of social security number; current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records.  As such, the consumer report may bear upon my character, general reputation, personal characteristics, and/or mode of living. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by YBC.

3. Physical Exam and Drug and Alcohol Testing.

I agree to take a physical exam following a conditional job offer. I also authorize the Company or its designated agent(s) to withdraw specimen(s) of my blood, urine, hair and/or other substances for chemical analysis. One purpose of this analysis is to determine or exclude the presence of alcohol, drugs or other substances. I understand that decisions concerning my employment may be made as a result of these tests.

If I am considered for employment, I authorize York Bridge Concepts to obtain medical records from any physician or facility in which I have received treatment. I understand that a request for medical records will not be sent to my physician or other health care provider until a conditional job offer has been made.

I have read, understand, and agree to items listed above. I knowingly and voluntarily acknowledge by checking the boxes below.