Application for Employment
WE ARE AN EQUAL OPPORTUNITY EMPLOYER/ AFFIRMATIVE ACTION EMPLOYER. We consider applications for all positions without regard to age, race, color, religion, creed, gender, national origin, disability, marital status, sexual orientation, or any other legal protected status.
PLEASE READ THE FOLLOWING STATEMENT AND INDICATE YOUR UNDERSTANDING AND ACCEPTANCE BY SIGNING IN THE SPACE PROVIDED.
- I certify that all the information provided by me in connection with my application, whether on this document or not is true and complete, and understand that any misstatement, falsification, or omission of information shall be grounds for refusal to hire or, if hired, termination.
- I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability from any damages which may result from furnishing such information to you.
- 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 Employee at any time with or without cause.
It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
- I understand that any offer of employment will be contingent upon satisfactorily passing a physical, drug screen and criminal background check.
- This application will be considered active for a ninety day period.
Background Permission and Release Form
I herby authorize Antenna Products Corporation and any authorized agent thereof to produce an investigative report on my background. To facilitate the development of this information, I authorize, request, and require any previous employer, educational institutions, organizations, companies, or persons so contacted to furnish the above named organization or its agents whatever information they may have concerning my work history and achievements, creditworthiness, general reputation, character, personal characteristics, and mode of living.
As an inducement to provide this information, I hereby release and forever discharge each and every such employer, educational institution, organization, company, or person from any and all claims of liability, in law or in equity, may arise out of furnishing such information to the above-named organization or any authorized agent thereof.
I further understand and agree that any false or misleading information given on my application or during my job interview is considered just grounds for dismissal and may result in my termination at the employer's option.
I further give said organization lasting permission to reinvestigate my background at any time in the future during my term of employment with them for any reason they so desire.
My signature below indicates my understanding of, agreement with, and acceptance of all of the above terms and stipulation."
Drug and Alcohol Testing Consent Form
Antenna Products Corporation is committed to maintaining a safe, productive work environment and to safeguarding all property connected with such employment. Because of this concern the signing of the Drug and Alcohol Testing Consent form, constituting agreement and cooperation with this policy, will be required of all persons as a condition of employment by Antenna Products Corporation.
It is the policy of Antenna Products not to hire, rehire, or retain any individuals who test positive for any illegal drug or alcohol in their system or who uses illegal drugs or a controlled drug in any amount, regardless of frequency, without a medically acceptable prescription. Therefore, to rule out the presence of non-prescribed or prohibited dangerous controlled substances or alcohol in the body, all Antenna Products applicants and employees will be required to undergo a drug/alcohol screening test for any or all of the following reasons.
Condition of initial employment
Randomly to ensure consistency and continuance of policy
Randomly due to suspicion by Antenna Products or its clients
Critical events (work-related accident, unusual behavior, etc.)
I understand that according to Antenna Products' policy I may be required to submit a sample of my urine for chemical analysis. I understand that qualified personnel will perform the analysis.
I consent freely and voluntarily to this request for a specimen or specimens of urine. I hereby and herewith release Antenna Products Corporation, the medical provider obtaining the samples, and the laboratory performing the analysis (including its employees, agents, and contractors) from any liability whatsoever arising from these requests to furnish my urine, the testing of the sample, and decisions made concerning my employment based upon the results of the analysis.
I understand that any person refusing to take or failing to pass the drug-screening test will not be qualified for employment with Antenna Products Corporation. Confirmatory tests for positive results are available at my expense when required by state law.
I have read the foregoing policy statement and consent form and understand and agree to submit to drug and alcohol testing as part of my terms and conditions of employment with Antenna Products Corporation.
Employment Data Record
Employees are treated during employment without regard to race, color, religion, sex, national origin, age marital or veteran status, medical condition or handicap, or any other legally protected status.
As an employer with an Affirmative Action Program, we comply with government regulations, including Affirmative Action responsibilities where they apply.
The purpose for this Data Record is to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of this Data Record is optional. If you choose to volunteer the requested information please note that all Data Records are kept in a Confidential File and are not a part of your Application for Employment or personnel file. Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.
Government agencies at times require periodic reports on the sex, ethnicity, disability, veteran and other protected status of employees. This data is for statistical analysis and affirmative action only.
SUBMISSION OF THIS INFORMATION IS VOLUNTARY.
Special Notice To Vietnam Era Veterans, Disabled Veterans, Other Veterans and Individuals with Disabilities:
Government contractors subject to the Veterans Employment Opportunity Act of 1998 are required to take affirmative action to employ and advance in employment, qualified disabled veterans, veterans of the Vietnam Era, other eligible veterans and qualified disable individuals.
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