Previous Employment (List your last four Employers)
References: (Three persons not related to you)
I hereby affirm that the information on this application is true and complete to the best of my knowledge. I also agree that significant omissions or falsification can disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date.
I understand and agree that to be considered eligible for employment at Brunner & Lay, I must have successfully completed a Post-Offer physical and drug screen background, and hereby release Brunner & Lay, the physicians and laboratory of any liability arising out of, or in connection with this examination. I understand that all results will be the property of Brunner & Lay and released only to them.
I understand and agree that my employment is contingent on Proof of Eligibility as required by immigration regulations, and my employment is "at-will" and for no definite period of time. Either I or my employer may end the relationship at any time. I understand that no representative of this company has the authority to vary this arrangement, and that nothing in company policies, rules or regulations changes this relationship.
I authorize persons. schools, my current employer and previous employers named in this application to provide any relevant information that may be required to arrive at an employment decision.