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New Employee Pre-Hire Part One

Step 1 of 13 - Employee Information

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  • As a condition of employment — you will be subject to a Background Check (consent form attached) you will be given a copy of the consent form along with the SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT.
  • If so, please describe in the space below. (Conviction will not necessarily be a bar to employment. In accordance with Company Policy and applicable state and federal laws, factors such as age at time of offense, remoteness of the offense, time since last conviction, and nature of the job sought and rehabilitation effort will be reviewed).
  • EDUCATION & OTHER INFORMATION
  • REFERENCES Includes only individuals familiar with your work ability — do not include personal references.
  • WORK EXPERIENCE Please list your work experience for the past three years beginning with your most recent job held. If you were self-employed, give firm name. Use additional paper if more space is needed.
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  • Application Form Waiver PLEASE READ CAREFULLY

    CLICK HERE TO PRINT FOR YOUR RECORDS

    In exchange for the consideration of my job application by Envirosystems USA Inc. (hereinafter called "the Company"), I agree that:

    Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Envirosystems USA Inc., or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President / Sr VP/ VP / Division Manager of the Company. Both the undersigned and Envirosystems USA Inc. may end the employment relationship at any time, wilhoul specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

    I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

    I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment and that I will be entered into a Random Drug & Alcohol Testing Pool; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that passing of a job-related physical examination is a condition of employment and that passing of periodic job-related physical examinations is a condition of continued employment.

    I understand that if my position requires me to drive a Company vehicle, including rental vehicles, I will be asked to sign a Disclosure and Release Form authorizing the Company to investigate my driving record lo determine qualification for driving (this is for NON-DOT Driving approval - if being hiring as a Commercial Driver additional paperwork and consent forms are required). I also understand that if approved to drive my Driving Record will be checked on an annual basis.

    I understand that, in connection with the routine processing of my employment application, the Company will be conducting a background check and may request from a consumer reporting agency an investigative consumer report including information as lo my credit records, character, general reputation, personal characteristics, and mode of living. Upon complete of this application, the Company, will provide me with information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

    I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

  • This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. Thank you for completing this application form and for your interest in our business.

  • Consumer Reports Notification

    Background Check Information

    CLICK HERE TO PRINT FOR YOUR RECORDS

    Please be advised that a consumer report or an investigative consumer report may be obtained from a consumer reporting agency (DlSA, lnc.) for the purpose of evaluating you for employment, promotion, retention, or reassignment as an employee.

    The report may obtain information bearing on your credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics or mode of living from public or private record sources or through personal interviews with your neighbors, friends, associates or educational facility.

  • Driving Record Employee Authorization Form

    CLICK HERE TO PRINT FOR YOUR RECORDS

  •  EMPLOYEE AUTHORIZATION FORM

    Disclosure and Release for Employee Driving Record Information

    • In connection with my employment (or my application for employment), I hereby give permission to Envirosystems (hereinafter referred to as “employer”) to obtain my state driving record (also known as my motor vehicle record or MVR) from a third party vendor.
    • I acknowledge and understand that my driving record is a consumer report that contains public record information.
    • I authorize, without reservation, any party or agency contacted by Employer to furnish the above mentioned information.
    • I understand that I have the right to request a copy of my driving record and to know the source or sources of my driving record.
    • This authorization shall remain on file by Employer for the duration of my employment and will serve as an ongoing authorization for Employer to procure my state driving record at any time during my employment period and that my driving record will be requested and reviewed at least annually. I understand that I am to report any driving violations to my supervisor regardless of when the violation occurred.
    • I understand that Employer may take adverse action affecting my employment based on information in my driving record. If such adverse action is taken, I acknowledge that my rights are as follows:
    • Employer must notify me in writing of any sick adverse action.
    • I have the right to receive a copy of the driving record upon which the adverse action was based.
    • I have the right to receive a summary of my rights under the Fair Credit Reporting Act. I have the right to know the name, address and telephone number of the consumer reporting agency that provided my driving record to Employer.
    • I have the right to obtain a free copy of my driving record from the agency that provided it – if such a request is made within 60 days from the date that Employer took adverse action.
    • I have the right to dispute the accuracy or completeness of my driving record with the consumer reporting agency that provided it and to request that errors be corrected.
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