OCS Application For Employment

Education/Work History

Last Employer

Dates Employed

2nd Last Employer

Dates Employed

I certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I agree that the company shall not be held liable in any respect if my employment is terminated because of false statements in this application. I understand that falsified statements on this application in any detail shall be considered sufficient cause for disqualification from further consideration for hire of for dismissal.

I authorize the company to make any investigation of my personal or employment history and authorize any former employer, person, firm, corporation, or government agency to give the company any information they may have regarding me. In consideration of the company’s review of this application, I release the company and all providers of information from any liability as a result of furnishing and receiving this information.

I understand that I may be required to pass a pre-placement medical examination and/or drug screen and I release the company and its employees from any and all liability or damages resulting from the pre-placement process.

I further agree that, if employed, my employment can be terminated with our without cause, and with our without notice, at any time, at either the company’s or my option. I understand that any employment manuals or handbooks that may be distributed to me during the course of my employment shall not be construed as a contract or contract by implication.