ACKNOWLEDGEMENTS & SIGNATURE
I certify that all of the information submitted by me on this application is true and complete, and I understand that any false information or omissions will lead to rejection of my application or, if I am employed, discipline up to and including termination at the time such false information or omissions are discovered.
I authorize investigation of all statements contained in this application, authorize CCU Coal And Construction, LLC to secure information about my background and experience with former employers, education institutions, and any relevant agencies and authorize those parties to provide information to CCU Coal And Construction, LLC concerning my background and experience. I release CCU Coal And Construction, LLC and all parties providing information to CCU Coal And Construction, LLC about my background and experience from any liability whatsoever arising therefrom.
I authorize CCU Coal And Construction, LLC to obtain information regarding my record with the Ohio Bureau of Motor Vehicles or other similar agency of another state if the job for which I am applying will require driving as part of my job duties.
My signature below certifies that I understand that if I am extended an offer of employment by CCU Coal And Construction, LLC, my employment is contingent upon satisfactory completion of a medical examination, including a drug test, and submission of proof that I have the credentials, experience, or licenses necessary for the position that I am offered. I further understand that if I refuse to take or fail the drug test, I am disqualified from further employment consideration. I hereby knowingly and voluntarily consent to CCU Coal And Construction, LLC’s request to undergo a drug test. I further release CCU Coal And Construction, LLC and its officers, agents, representatives, and employees from any and all claims and liability for damages associated with or arising from my submission to the medical examination and drug test.
I understand that if I am employed, my employment with CCU Coal And Construction, LLC may be terminated for any reason, with or without cause or notice, and at any time, by me or CCU Coal And Construction, LLC. Nothing in this application, or in any oral or written statement provided to me by CCU Coal And Construction, LLC or any of its agents will limit these rights to terminate my employment at will, and no one will have any authority to change this at-will relationship, unless such change is in writing, signed by the President of CCU Coal And Construction, LLC.
I understand that this application is only valid for the position applied for at present and that CCU Coal And Construction, LLC is not obligated to retain or consider this application for future openings.
APPLICANT SIGNATURE: ________________________________________ DATE: ______/______/________
THIS APPLICATION WILL ONLY BE CONSIDERED FOR THREE MONTHS. IF YOU HAVE NOT BEEN HIRED WITHIN 3 MONTHS OF FILLING OUT THIS APPLICATION AND YOU WISH TO CONTINUE TO BE CONSIDERED FOR EMPLOYMENT, YOU MUST COMPLETE ANOTHER APPLICATION.