PERSONAL: (Please print all information requested)
EDUCATIONAL:Please indicate education or training which you believe qualifies you for the position you are seeking.
Other Training or Degrees:
RECORD OF CONVICTION:
(A conviction will not necessarily automatically disqualify you for employment. Rather, such factors as age and date o: conviction, seriousness and nature of the crime, and rehabilitation will be considered).
EMPLOYMENT: List last employer first
Employer name and telephone numbers are mandatory.
REFERENCES:Please list references Other Than relatives or previous employers.
This application for employment is good for 90 days only. Consideration for employment after 90 days requires a new application.
APPLICANT'S CERTIFICATION AND AGREEMENT
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize KEMPER CONSTRUCTION LLC to verify their accuracy and to obtain reference information on my work performance. I hereby release KEMPER CONSTUCTION LLC from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.
I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.
I also understand that (1), KEMPER CONSTRUCTION LLC has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment: (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 continued employment may be based on the successful passing of job-related physical examinations. As a condition for my application being considered, and/or being hired, I understand and agree to undergo random substance (any illegal drug) screening at any given time of my employment. I understand that if my test results are positive, this is reason for immediate dismissal and I will not be considered for further employment.
I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.
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