AUTHORIZATION
“I certify that the facts contained in this application are true complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company form all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.
I hereby authorize ATECH, Inc. to prepare a report for employment purposes, from internal and external sources, that may include my present and previous employment information, salary and work performance, past and present driving records, credit history, education records, professional credentials, and criminal records.
Further, I also authorize my current and former employers as well as other organizations to provide such information to ATECH, Inc., and hereby release and hold harmless ATECH, Inc., my current and former employers, as well as any other organizations who have provided this information in connection with my report.”
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