I certify that the answers given are true and complete to the best of my knowledge.
I authorize the investigation of all statements contained in this application for employrnent
as may be necessary in arriving at an employment decision. I also understand that I must
clear a SRS and KBI background check.
This application for employment shall be considered active for a period of time not to exceed
Six (6) months. Any appiicant wishing to be considered for employment beyond this time
period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that
the Employee may resign at any time and the Employer may discharge the Employee at any
time with or without cause. It is further understood that this "at will" employment
relationship may not change by any written document or by conduct unless such change is
specifically acknowledged in writing by an authorized executive of this organization.
ln the event of employment, I understand that false or misleading information given in my
application or interview(s) may result in discharge. I understand also that I am required to abide by all rules and regulalions of the employer.
By typing in your name below, you acknowledge that you are electronically signing the above declaration of understanding.
Signed Electronically:
on this date:
Job Fit Survey Date & Time: