(Please read the following statement carefully)
I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to be the best of my knowledge. I also agree that falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date.
I authorize all persons listed above (and on the accompanying resume, if any) to give NCS an and all information concerning my previous employment and education and any pertinent information they may have, personal or otherwise, and release all parties, such person and NCS, from liability for damage that may result from furnishing same to NCS.
I understand that NCS has agreed to provide workers’ compensation insurance coverage for its employees. In the event of an injury in the workplace, I agree that my sole remedy lies in coverage under NCS’s worker’s compensation insurance policy.
If employed by NCS, I agree to abide by the policies and procedures of NCS which includes NCS’s Anti-Harassment Policy. I further understand that my employment can be terminated, with or without cause or notice, at any time, at the discretion of NCS, or myself. I further understand that no manager or representative of NCS other than the president of NCS has any authority to enter into any agreement, oral or written, on behalf of NCS for the term of employment or to make any assurance or promise of continued employment.
I understand that NCS may obtain a consumer and/or investigative consumer report for employment purposes that may include information regarding prior employment, work experience and performance, reasons for employment termination, and information as to character, general reputation, personal characteristics, or mode of living. The report may also contain a records check of driving, criminal, credit, education, degrees, professional licenses and/or certification records depending on the position. By signing this application, I authorize the procurement of a consumer and/or investigative consumer report by NCS a part of the pre-employment background investigation and if hired, at any time during my employment. California Applicants: I further understand that NCS may obtain Public Records about me as part of an internal background investigation and that I may waive my right to receive a copy of such Public Records by checking this box.
I understand and agree that I may be required to take a drug and alcohol screening test. I hereby give my voluntary consent for a blood and/or urine and/or hair sample to be collected from me and submitted for testing. I also consent to the release of the test results to NCS for its use. I understand that any positive drug or alcohol result may preclude my employment.