- I understand that, where permissible under applicable federal, state, or local law, I may be subject to a pre-employment drug test after receiving a conditional offer of employment and must receive a negative result for illegal drug use before being permitted to commence work with [EMPLOYER_NAME].
- I understand that, where permissible under applicable federal, state, or local law, I may be subject to a pre-employment medical examination after receiving a conditional offer of employment and must meet the qualifications for the position, with or without reasonable accommodation, before being permitted to commence work with [EMPLOYER_NAME].
- I understand that, where permissible under applicable federal, state, or local law, I may be subject to a pre-employment background check after receiving a conditional offer of employment to investigate my criminal background [, driving record] [, credit history] and other matters related to my suitability for employment. I understand that a separate disclosure and consent form will be provided to me prior to any background check.
- I understand that employment with [EMPLOYER_NAME] is also contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.
- I authorize [EMPLOYER_NAME] and its representatives to contact my current and former employers (with the exception of my current employer, if I have marked “May we contact?” on page [3/PAGE NUMBER] of this application as “No”), schools, references, and other persons or organizations I have named in this application for the purpose of verifying the information I have provided. I release my current and former employers, schools, references, and other persons or organizations named in this application from any liability resulting from the information released. I authorize employers, schools, and other persons or organizations named in this application to provide any information or transcripts requested.
- I hereby certify that, if employed, my employment with [EMPLOYER_NAME] will not conflict with, violate, breach, or result in default under, any contract, agreement, or understanding that I am a party to or am bound by, including any non-solicitation, non-competition, or other similar post-employment restriction or agreement I have with any current or former employer, other than the contracts, agreements, covenants, or understandings I have disclosed in this application, if any.
