|
I hereby understand that I am submitting this application via electronic mail. I hereby authorize release/review of my personal records to Protocall, its clients, state and government or accreditation agencies for the purpose of rendering service. I voluntarily consent to and authorize former or current employers, and its agents and employees, to furnish Protocall or any of its employees or agents any reference information concerning me, including achievement, wage history, performance, attendance, personnel history, disciplinary information and reason for separation of employment, relating to my employment with my former of current employer. I hereby release the former or current employer and its agents and employees from all liability for damages or claims, including but not limited to defamation, interference with contracts or prospective economic advantage or negligence I have or may have which arise or result from any reference information provided pursuant to this authorization or any attempts to comply with this information. I hereby give Protocall the right to conduct criminal background, drug and alcohol testing and credit reference information, if applicable. All statements made in this application are true to the best of my knowledge. I understand that any false statements or implementations made by me in this application or other documents will result in denial of employment or discharge. I understand that employment would be "at will" if hired. I have the right to terminate my employment at any time and that the Company retains a similar right. I also understand that only the President or Vice President of Protocall has the authority to change the foregoing or to enter into any agreement for employment for any period of time. Any such change or agreement must be made in writing.
Which Office would you like this application sent to? (required)
|
|