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| Are you authorized to work in the United States and able to provide proof of employment eligibility upon hire? |
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| Do you have permanent resident status approved by U. S. Immigration? |
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| Do you have authorization to work in the U. S.? |
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| Have you been convicted of, or pled guilty or nolo contendre to, any crime within the last seven years? |
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| How did you hear about our organization? |
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| Are you a former SCI/SCIF employee? |
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| Employment Dates, From: |
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| Employment Dates, To: |
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| Do you have relatives that work here? |
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| By submitting this form, you agree to the following: |
| I understand, if I am employed, I will be an employee-at-will with no contract of employment for any particular time or upon any particular terms or conditions. I will have the right to terminate my employment at any time for any reason and SCI/SCIF will have the same right. I further understand that SCI/SCIF will have the right to change any terms and conditions of employment at any time. In addition, I understand that I should not rely on any oral or written statements by any SCI/SCIF employee, nor should I rely on any practices or written policies of SCI/SCIF, as such practices, and such oral statements, will not create an express or implied contract of employment upon any particular terms or conditions. I understand that this policy of at-will employment will not be modified. |
| I voluntarily and knowingly authorize any present employer or supervisor, past employer or supervisor, college, university or other institution of learning, administrator, state agency, federal agency, private business, personal reference, and/or other persons, to give records or information they may have concerning motor vehicle history, earnings history, character, and employment records or any other information requested by SCI/SCIF or any agent named by SCI/SCIF. I, voluntarily and knowingly, unconditionally release and forever discharge SCI/SCIF, and any named or unnamed informant from any and all liability related to obtaining, furnishing or using this information. This authorization shall be valid from the date signed and a photographic or faxed copy of the authorization shall be as valid as the original. |
| I represent that I am free to accept employment with SCI/SCIF and have no agreements, obligations or commitments of any kind (whether enforceable or not) which would in any way hinder or interfere with my acceptance of employment or the performance of any duties assigned to me. |
| I certify that my statements on this application and my responses to all of the foregoing questions are true and correct, and there is no information that I have omitted, misrepresented or failed to include. If any of my statements or responses on this application are found to be untrue, misrepresented or omitted, I understand that such a finding may result in the rejection of my application, and, if employed, my immediate discharge or discharge at any time during my employment. |
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