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You
Must Read & Agree To The Following Before Submitting
Your Online Application.
1. In connection with my application for employment,
I understand that an investigative consumer report
may be requested that will include information
as to my character, work habits, performance,
and experience, along with reasons for termination
of past employment. I understand that as directed
by company policy and consistent with the job
described, you may be requesting information from
public and private sources about my: workers'
compensation injuries, driving record, court record,
education, credentials, credit, and references.
2. Medical and workers' compensation information
will only be requested in compliance with the
Federal Americans with Disabilities Act (ADA)
and/or any other applicable state laws. According
to the Fair Credit Reporting Act, I am entitled
to know if employment is denied because of information
obtained by my prospective employer from a consumer-reporting
agency. If so, I will be notified and given the
name and address of the agency or the source which
provided the information.
3. I acknowledge that a telephonic facsimile (FAX)
or photographic copy shall be as valid as the
original. This release is valid for most federal,
state and county agencies including the Minnesota
Department of Labor.
4. Minnesota and California applicants only. If
you want a copy of the report(s) ordered, check
this box. q The report(s) will be sent by the
reporting agency to you at the address below.
5. I hereby authorize, without reservation, any
law enforcement agency, institution, information
service bureau, school, employer, reference or
insurance company contacted by C.P.R. Carpet &
Upholstery Care or its agent, to furnish the information
described in Section 1. The following information
is required by law enforcement agencies and other
entities for positive identification purposes
when checking public records. It is confidential
and will not be used for any other purposes. I
hereby release the employer and agents and all
person, agencies, and entities providing information
or reports about me from any and all liability
arising out of the requests for or release of
any of the above mentioned information or reports.
Yes I have read & agree with the above statements.
Take me to the employment application.
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