PLEASE READ CAREFULLY BEFORE SUBMITTING THIS APPLICATION
I certify that all statements made on this application are true and that I have not knowingly withheld any facts or circumstances which
might, if disclosed, affect my application.
I fully understand that the misrepresentation or omission of facts or circumstances will be sufficient cause for rejection of my application
if the Organization has not employed me, and for immediate termination if the Organization has employed me.
I authorize the investigation of all statements contained in this application and the further investigation of any information required to
determine my qualifications for the position(s) for which I am applying.
I authorize former employers, academic institutions, and other references to release any information required to determine my qualifications
for the position(s) for which I am applying and hereby release all individuals and organizations from any liability or damages
which may result from furnishing such information. I waive any right, under Public Act 397 of 1978, to receive written notice from this
Organization or former employers that such information has been released.
A copy of this Certification serves as sufficient authorization, and may be considered to be in compliance with any law, for the release
of whatever information is sought. I hereby agree to sign any documents or authorization which might be necessary to conduct an
appropriate investigation of the information contained in this application.
In consideration of my employment, I agree to inform myself of and conform to the policies and procedures of the Organization and
I also understand and agree that my employment and compensation is for no definite period and is at will, and may, regardless of time
and manner or payment of my wages and salary, be terminated at any time, with or without cause or notice, at the option of either the
Organization or myself. I also understand and agree that the Organization has the right to unilaterally modify and/or terminate any
policies, practices, procedures, and standards it has adopted or implemented to the extent not limited by law or contract. I acknowledge
that no representative of the Organization, other than the Chief Executive Officer and his/her designee, has either the power or
authority to enter into any agreement for employment for any specified period of time, or to make any representations or agreements
contrary to the foregoing, unless that agreement is in writing and signed by the Chief Executive Officer of the Organization or his/her
I understand that the Organization may require the successful completion of a urinalysis for drug testing purposes, and criminal
background check as a condition of employment. By submitting this Application for Employment, I hereby consent to both.
I hereby acknowledge that I have read and understand the preceding statements, and that my affirmation to the above is hereby