Please list three (3) people to whom you are not related, and who are not supervisors listed above, who have known you for at least one (1) year, and whom we may contact as additional references. We request that your references be former managers, co-workers, educators, clients or customers. Include phone number and/or address.
Have you ever been convicted of a crime, other than minor traffic violations? *
If yes, describe in full: (You are not required to disclose information regarding sealed or expunged records of conviction or arrests. No applicant will be denied employment solely on the grounds of conviction. The nature of the offense, the date, the surrounding circumstances, and the relevance to the position(s) for which you are applying, however, may be considered.)
I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any false statements, omissions or misrepresentations on this application or false statements made during the employment process may be considered sufficient cause for rejection of this application or dismissal if I have been employed, no matter when discovered by the Company.
I hereby authorize ABT to thoroughly investigate my references, employment record, and other matters related to my suitability for employment and further authorize my former employers or any third party to disclose to the Company all reports and other information related to my suitability for employment, without giving me prior notice of such disclosure. In addition, I hereby release the Company, former employers, and all references listed above, from any and all claims, demands, or liabilities arising out of or related to such investigations or disclosure.
I understand that nothing contained in this application or conveyed during any interview that may be granted is intended to create any employment contract. I further agree that, if I am hired, my employment is for no definite period and may be terminated at any time, without prior notice, at the option of either myself or the Company. I further understand that no representative of the Company has the authority to make any assurances to the contrary. I understand that filling out this form does not indicate there is a position open and does not obligate the Company to hire me.
If I am offered employment, I agree to submit to a medical examination and/or drug test before starting work. If employed I also agree to submit to a medical examination and/or during test at any time deemed appropriate by ABT and as permitted by applicable law. I consent to such examination(s) and/or test(s) which ABT shall keep confidential as required by applicable law. I understand that my employment or continued employment, to the extent permitted by applicable law, is contingent upon satisfactory medical examination and/or drug test. I hereby release ABT, its employees, and its agents from any and all legal liability flowing from my taking such test(s) and examination(s) or my failure or refusal to take such test(s) or examinations.