Please list your work experience for the last 5 years beginning with your most recent job held. If you were self-employed, give business name.
Use the blank field to add additional employers if necessary.
Background Check Information
PLEASE READ CAREFULLY
I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.
I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.
If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable or federal state law.
We are an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, gender, sexual orientation, national origin, citizenship, age, height, weight or disability. We assure you that your opportunity for employment with us depends solely on your qualifications.
Thank you for completing this application form and for your interest in our business.
AUTHORIZATION and RELEASE TO OBTAIN INFORMATION
FOR BACKGROUND & DRIVING CHECK
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 to obtain a consumer report and/or and investigative consumer report which may include the following:
My employment records;
Records concerning any driving, criminal history, credit history, civil record, workers’ compensation (post-offer only) and drug testing;
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 such information.
I agree that a copy this authorization has the same as an original.
I hereby release and hold harmless any person, firm, or entity that discloses matters in accordance with this authorization, as well as from liability that might otherwise result from the request for use of and/or disclosure of any or all of the foregoing information.
I understand and acknowledge that under the Fair Credit Reporting Act I may request a copy of any consumer report form the consumer reporting agency that compiled the report, after I have provided proper identification.
I hereby authorize to obtain and prepare an investigative consumer report as set forth above, as part of its investigation of my employment application. This authorization shall remain in effect over the course of my employment. Reports may be ordered periodically during the course of my employment.
Thank you for your interest in employment with Arc Tik Enterprises LLC.
We will review your application and will contact you if your qualifications match our business needs.