Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap or other protected status.
References such as previous supervisor or co-worker who can provide professional references.
I am capable of performing the following job functions:
Affirmative Action Data Record
Employess are treated during employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.
As an employer with an Affirmative Action Program, we comply with government regulations, including Affirmative Action responsibilities where they apply.
The purpose for this Data Record is to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Data Record is optional. If you choose to volunteer the requested information please note that all DataRecords are kept in a Confidential File and are not a part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.
I specifically authorize Safari Contract Cleaners, and those acting on behalf of Safari Contract Cleaners, to investigate and/or make inquiry into my background as may be necessary in arriving at an employment decision, including, but not limited to, a criminal background check, a consumer reporting agency report,an MVR (motor vehicle report) and workman’s compensation activity report. I release Safari Contract Cleaners from any liability, including a potential claim for defamation, related to the completion or undertaking of my pre-employment background check.
This application for employment shall be considered active for a period of time not to exceed 6 months. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understoodthat this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application or inter-view(s) may result in discharge. If employed, I agree to abide by all policies, rules and procedures of the Employer. I also understand that I may be required to take a drug test or participate in a random drug poolas a condition of employment.
I hereby authorize the use of photocopies of this section of the application for employment for acceptance by all persons and parties as an original for the release of any and all information that is relevant to the consideration of the application of employment. I agree to release all such persons and parties from anyclaim or liability for providing such information to the company.
Thank you for your application, we will be in contact with you shortly. If you do not hear form us with in 48 hours please call us at 1-800-435-2684
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