NOTICE TO ALL APPLICANTS: READ BEFORE SIGNING
INITIAL IN THE SPACES PROVIDED BELOW
NOTE: This application will be considered active for 90 days. If you have not been employed within this period and are still interested in employment, please contact the office where you applied and request that our application be reactivated. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, or the presence of a non-job-related medical condition or disability.
APPLICANT COMPLETE THE FOLLOWING
I. In connection with my application for employment, I understand that a consumer report or an investigative consumer report may be requested that will include information as to my character, work habits, performance, and experience, along with reasons for termination of past employment. I understand that as directed by company policy and consistent with the job described, you may be requesting information from public and private sources about my: workers' compensation injuries, driving record, court record, education, credentials, credit, and references.
II. Medical and workers' compensation information will only be requested in compliance with the Federal Americans with Disabilities Act (ADA) and/or any other applicable state laws. According to the Fair Credit Reporting Act, I am entitled to know if employment is denied because of information obtained by my prospective employer from a consumer reporting agency. If so, I will be notified and given the name and address of the agency or the source which provided the information.
III. I acknowledge that a telephonic facsimile (FAX) or photographic copy shall be as valid as the original. This release is valid for most federal, state and county agencies including the Minnesota Department of Labor.
The following information is required by law enforcement agencies and other entities for positive identification purposes when checking
public records. It is confidential and will not be used for any other purposes. I hereby release the employer and agents and all persons,
agencies, and entities providing information or reports about me from any and all liability arising out of the requests for or release of any
of the above mentioned information or reports.
The following states require sex and race to obtain information:
AL, AR, FL, GA, IA,IL, Ml, OR, TX, WI