"UNDER
MARYLAND LAW AN EMPLOYER MAY NOT REQUIRE OR DEMAND
ANY APPLICANT FOR EMPLOYMENT OR PROSPECTIVE EMPLOYMENT
OR ANY EMPLOYEE TO SUBMIT TO OR TAKE A POLYGRAPH,
LIE DETECTOR OR SIMILAR TEST OR EXAMINATION AS
A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT,
ANY EMPLOYER WHO VIOLATES THIS PROVISION IS GUILTY
OF A MISDEMEANOR AND SUBJECT TO A FINE NOT TO
EXCEED $100."
"It is unlawful in Massachusetts
to require or administer a lie detector test as
a condition of employment or continued employment.
An employer who violates this law shall be subject
to criminal penalties and civil liability."
If
you are to be hired by the company, you will be
required to attest to your identity and employment
eligibility, and to present documents confirming
your identity and employment eligibility. You
cannot be hired if you cannot comply with these
requirements.
AUTHORIZATION
I certify that the facts contained
in this application (and accompanying resume,
if any) are true and complete to the best of my
knowledge. I understand that any false statement,
omission, or misrepresentation on this application
is sufficient cause for refusal to hire, or dismissal
if I have been employed, no matter when discovered
by the Company.
I understand that any employment
is conditioned on a background check. I authorize
the Company to thoroughly investigate all statements
contained in my application or resume, and I authorize
my former employers and references to disclose
information regarding my former employment, character
and general reputation to the Company, without
giving me prior notice of such disclosure. In
addition, I release the Company, and former employers
and all references listed above from any and all
claims, demands or liabilities arising out of
or related to such investigation or disclosure.
I
understand and agree that nothing contained in
this application, or conveyed during any interview,
is intended to create an employment contract.
I further understand and agree that if I am hired,
my employment will be "at will" and
without fixed term, and may be terminated at any
time, with or without cause and without prior
notice, at the option of either myself or the
Company. No promises regarding employment have
been made to me, and I understand that no such
promise or guarantee is binding upon the Company
unless made in writing.
If I am offered employment I
agree to submit to a medical examination and drug
test before starting work. If employed, I also
agree to submit to a medical examination or drug
test at any time deemed appropriate by the Company
and as permitted by law. I consent to such examinations
and tests, and I request that the examining doctor
disclose to the Company the results of the examination,
which results shall remain confidential and segregated
from my personnel file. I understand that my employment
or continued employment, to the extent permitted
by law, is contingent upon satisfactory medical
examinations and drug test, and if I am hired
a condition of my employment will be that I abide
by the Company's Drug and Alcohol Policy.
I understand that filling out
this form does not indicate there is a position
open and does not obligate the Company to hire.
I agree to abide by all Company work rules, policies,
and procedures. The Company retains the right
to revise its policies or procedures, in whole
or in part, at any time.
To
verify that you are a human filling out this form,
not a machine,
please enter the text you see in the image into
the box below it. (Image takes a few seconds to
load).
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