I certify that the information in this application
is accurate, current and complete. I understand that misstatements or
omissions may result in disqualification from further consideration
or termination of employment. I also certify that my physical and emotional
condition does not include any impairment, including habituation to
substances that will prevent me from working at REACH.
I authorize REACH to conduct investigations
in which information may be obtained through personal interviews with
business associates, personal acquaintances, financial sources or other
third parties regarding my employment history, credentials, character
and credit background and to obtain any relevant information (including
a criminal background check) needed to make my employment decision.
I authorize REACH to disclose this application along
with any information about me obtained through reference checks or during
the course of the interview process for local, state, federal, contractual
or accreditation audit purposes. I also authorize REACH
to disclose any of my performance appraisals, disciplinary records or
skills tests for the same purposes as above. I release REACH and any individual or entity providing information to REACH from all liability for any damages from the disclosure of
I also understand and agree that:
passing a medical examination and/or participating in a post-conditional
offer medical screening may be required.
I may be subject to pre-employment drug testing or a drug test
where a reasonable suspicion exists, or where warranted by circumstances,
workplace conditions or contractual requirements.
I understand and agree that nothing contained in this
employment application or in granting of an interview creates an employment
contract between REACH and myself for either employment
or for the providing of any benefit. No promises regarding employment
have been made to me. If an employment relationship is established,
I understand that my employment will be terminable “at will”,
that I will have the right to terminate my employment at any time, and
REACH will retain a similar right to terminate my employment
at any time.
I understand and agree that this application is a
continuous document and should any of the information, which I have
supplied herein, change, I am obligated to notify REACH
of such change immediately.
I understand that should I become employed by REACH
my work assignments, schedules and/or work locations
are subject to change according to the needs of the business and the
clients of REACH
For security purposes, please enter the code shown
I Accept ( *Required)