Application Submission Agreement

By supportPublished On: March 26th, 2014Categories: Uncategorized

I certify that all the information I have provided in order to apply for and obtain employment work with this employer is true, complete, and correct. I expressly authorize, without reservation, the employer, its representative, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume’ or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using information in the employment process and all other persons, corporations or organizations for furnishing accurate information about me. I understand that this employer does not unlawfully discriminate in employment and no information on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law. If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no oral or written agreements to the contrary are valid unless they are in writing and signed by Dr. Spera. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to eliminate me from further consideration for employment, or may result in my immediate discharge from employment with the employer, whenever it is discovered. DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT. *

I certify that I have read, fully understand and accept all the terms of the foregoing Applicant Statement

Applicant Statement

YOU MUST READ AND SIGN THIS FORM IN ORDER FOR YOUR APPLICATION TO BE COMPLETE

Applicant Signature *

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Email *

Today's Date *

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Time

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Cosmetic

Innovative Dentistry

Application Submission Agreement

Applicant Statement

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