PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK THEM BEFORE SIGNING.
I certify that all answers and statements I have made on this application (and resume or other supplementary materials) are true and complete without omissions. By signing below, I authorize THE COMPANY to investigate all statements contained in this employment application as they may deem necessary in arriving at an employment decision. I understand that any false information provided by me will likely result in a refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character and qualifications.
If hired I will be responsible for familiarizing myself with all rules and regulations of THE COMPANY as they presently exist or are later modified. If hired, I understand, my employment can be terminated, at the secretion of THE COMPANY or at my option, without notice, at any time and for any reason.
I also understand that no representative of THE COMPANY has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement signed by the president of the company.
I understand this application is not an offer of employment and no promises or representation of employment have been made to me at this time.
I have read, understand, and agree with the above.
In compliance with the Fair Credit Reporting Act, we hereby notify you that for employment purposes we may request a consumer report in connection with your application for employment or in connection with your employment. It is our normal practice to limit the consumer report to driving records available from the appropriate state department of motor vehicles.
I voluntarily authorize and/or Five Star Insurance Agency, LLC to obtain a consumer report for the purposes of business insurance underwriting. I acknowledge that Five Star Insurance Agency, LLC is not my employer or prospective employer and will not make any employment decision relating to me. I understand and agree that I can revoke this authorization only in writing and revocation will be effective only upon receipt.