I solemnly swear and certify that all answers given in this application are true and complete to the best of my knowledge
and belief. In the event of an offer of employment and/or subsequent employment, I understand that false, misleading or omitted
information in my application shall be grounds for withdrawal of an offer of employment or discharge at any time.
It is my understanding that CCDC, or its agents, may make a thorough investigation of my entire work and personal
history and may verify all data given in my application for employment, related papers or oral interviews. I understand that
CCDC, or its agents, may disclose to third parties some or all of the information given in my application as part of the background
investigation. I authorize such investigation and the giving and receiving of any information requested by ABC Company, or its
agents, and I release from liability any person or organization giving or receiving any such information. I understand and agree
that CCDC may obtain a consumer report from a third-party consumer reporting agency, as these terms are defined in the Fair
Credit Reporting Act, for the purpose of obtaining such information and completing such investigations.
I understand that any employment will, among other things, be contingent upon the results of a background investigation. I
understand and agree that any commitment will be based on verification of all data given or received regarding my application for
employment, related papers, oral interviews or references.
I understand that this is an application for employment and that no employment contract or promise is being offered.
I understand that if I am employed, such employment is for no definite period of time and that CCDC can change wages, benefits,
practices, policies and conditions at any time. No application, brochure, policy statement, procedure, benefit plan,
summary, work rules, employee handbook, or other written or oral communication between the company and
its employees is intended to create an employment contract other than an “at will” employment contract. I
further agree that the “at will” employment contract means that both the company and the employee have the
right to terminate the relationship without recourse or liability at any time with or without cause and with or
without notice. I fully understand and agree that if employed by CCDC I am an “at will” employee.
I am willing to work nights, weekends and holidays if my work assignment requires it.
I have read and understand the above.
I understand that an investigative background inquiry is to be made on myself including, but not limited to, consumer credit
history, criminal history, driving history, education and other reports. These reports may include information as to my
character, work habits, job performance, and experience, along with reasons for termination of past employment. I further
understand that information will be requested from various Federal, State, and other agencies, which may maintain records
concerning my past activities relating to my driving, credit performance, criminal conduct, civil court, and other experiences.
I authorize, without reservation, any party or agency contacted to furnish the above information.
I hereby consent to your obtaining the above information. And, I further understand that, to aid in the proper identification
of my file or records, I am providing the following information, as well as any other information that may be required at a