PDF Employment Application

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Employment Application
Other Information
Employment Experience
TO WHOM IT MAY CONCERN: I hereby authorize ELM Homes to perform an investigation as may be necessary into my personal background/employment history. I further authorize the companies, agencies, or persons named below to give any information regarding my employment, character and qualifications, together with any information they may have regarding me whether or not it is in their records. I hereby release said companies, agencies, or persons from all liability for any damage for issuing this information. A photocopy or facsimile of this authorization shall be as valid as the original.
Under the provisions of the Fair Credit Reporting Act, 15 USC, Section 1681 et. Seq., the Americans with Disabilities Act and all applicable federal, state, and local laws, I hereby authorize and permit ELM Homes to obtain a consumer report and/or an investigative consumer report which may include the following: 1. My employment records; 2. Records concerning any driving, criminal history, civil record, workersʼ compensation (post-offer only) and drug testing; 3. (For truck drivers only) In accordance with the Department of Transportation Motor Carrier Safety regulations, Section 382.413, information concerning alcohol and controlled substances for the past 2 years; 4. Verification of my academic and/or professional credentials, and information and/or copies of documents from any military service records. I understand that an “investigative consumer report” may include information as to my character, general reputation, personal characteristics, and mode of living, which may be obtained by interviews with individuals with whom I am acquainted or who may have knowledge concerning any such items of information.

I agree that a copy of this authorization as the same effect as an original. I herby release and hold harmless any person, firm, or entity that discloses matters in accordance with this authorization, as well as ELM Homes from liability that might otherwise result from the request for use of an/or disclosure of any or all of the foregoing information. I understand and acknowledge that under provision of the Fair Credit Reporting Act I may request a copy of any consumer report from the consumer-reporting agency that compiled the report, after I have provided proper identification.

I hereby authorize ELM Homes to obtain and prepare an investigative consumer report as set forth above, as part of its investigation of my employment application.

I hereby declare the information provided by me in the application for employment is true, correct and complete to the best of my knowledge (as is all the supplemental information submitted in conjunction with this application). I understand that if employed, any mis-statement or omission of fact on this application and supplemental information may result in my not being hired, or if employed, my termination. I authorize investigation of all statements contained in this application (and accompanying resume, if any).

I authorize you to obtain an investigative consumer report containing information obtained through personal interviews with my neighbors, friends, and acquaintances. This report, if obtained, may include information as to my character, general reputation, and personal characteristics. I further authorize investigation by law enforcement, and any and all state and federal agencies, employers or any other appropriate firms or agencies in any state. I understand that I have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of any such investigative report that is made.

In consideration of my employment, I agree to conform to the rules and regulations of ELM Homes and my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the Company or myself. I understand that this application was completed by me, and that all entries in it and information in it are true, correct and complete to the best of my knowledge.

I further understand that this application is not, and is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. I understand and agree that my employment is at-will and can be terminated by either party with or with out notice, at any time, for any reason or no reason. No one other than an officer of ELM Homes has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in writing signed by the officer.
As part of our hiring background and investigation, we may obtain consumer reports to prepare an investigative consumer report. The investigative consumer reports may consist of contacting all listed prior employers to verify your employment history. It may also include, but not be limited to criminal history reports and driving history records. Under the provisions of the Fair Credit Reporting Act (15 USC at 1681-1681u) as amended, before we can seek such reports, we must have your written permission to obtain the information. You have the right, upon written request, to a complete and accurate disclosure of the nature and scope of the investigation. You are also entitled to a copy of your Consumer Rights Under the Fair Credit Reporting Act.
Applicant Survey Form
As an affirmative action employer, we must monitor our equal employment opportunity and affirmative action program, and report the results to government agencies. Please help us gather this information by identifying your sex, race or ethnicity, and disability status on this form.