“I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED,
FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL
INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE THE
COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION.
I ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF THE COMPANY HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY
SPECIFIED PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING, UNLESS IT IS IN WRITING AND SIGNED BY AND AUTHORIZED COMPANY
REPRESENTATIVE.
THIS WAIVER DOES NOT PERMIT THE RELEASE OR USE OF DISABILITY-RELATED OR MEDICAL INFORMATION IN A MANNER PROHIBITED BY THE AMERICAN WITH
DISABILITIES ACT (ADA) AND OTHER RELEVANT FEDERAL AND STATE LAWS.
I HEREBY ACKNOWLEDGE THAT I HAVE BEEN INFORMED BY DIAMOND MANUFACTURING OF BLUFFTON THAT DIAMOND MANUFACTURING OF BLUFFTON MAY SEEK TO
OBTAIN A CONSUMER REPORT AND/OR INVESTIGATIVE REPORT THAT WILL INCLUDE PERSONAL INFORMATION REGARDING ME, INCLUDING BUT NOT LIMITED TO,
EDUCATIONAL HISTORY, WORK REFERENCES, DRIVING RECORD AND CRIMINAL CONVICTIONS OR ARREST RECORDS, IN ORDER TO ASSIST DIAMOND
MANUFACTURING OF BLUFFTON IN MAKING EMPLOYMENT DECISIONS.
I FURTHER ACKNOWLEDGE BY DIAMOND MANUFACTURING OF BLUFFTON THAT REPORTS MAY BE PROVIDED TO DMB BY OTHER FIRMS CONTRACTED FOR THAT
PURPOSE. I, MY HEIRS, ASSIGNS, AND LEGAL REPRESENTATIVES, HEREBY RELEASE AND FULLY DISCHARGE DIAMOND MANUFACTURING OF BLUFFTON FROM ANY
AND ALL CLAIMS MONETARY OR OTHERWISE, THAT I MAY HAVE AGAINST DMB, ARISING OUT OF THE MAKING, OR USE OF, EITHER A CONSUMER REPORT AND/OR
INVESTIGATIVE REPORT, INCLUDING ANY ERRORS OR OMISSIONS CONTAINED OR OMITTED FROM SUCH REPORTS.
DIAMOND MANUFACTURING OF BLUFFTON AGREES TO INFORM APPLICANT IF AN EMPLOYMENT DECISION HAS BEEN INFLUENCED BY INFORMATION CONTAINED IN A CONSUMER OR CRIMINAL HISTORY REPORT. APPLICANT MAY OBTAIN A FREE COPY OF THE REPORT WITHIN 60 DAYS BY CONTACTING DIAMOND MANUFACTURING OF BLUFFTON IN WRITING. A SUMMARY OF “YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT” IS ON THE ATTACHED FORM.”
IN COMPLIANCE WITH FEDERAL LAW, ALL PERSONS HIRED WILL BE REQUIRED TO VERIFY IDENTITY AND ELIGIBILITY TO WORK IN THE UNITED STATES AND TO
COMPLETE THE REQUIRED EMPLOYMENT ELIGIBILITY VERIFICATION DOCUMENT FORM UPON HIRE.