I certify all statements, information and documents provided with this
application are true, complete and correct to the best of my knowledge
and are made in good faith. I understand that omissions, misleading, false
or untrue information, or any attempt at fraud or deceit in any manner
connected with this application and subsequent testing may result in my
NOT being considered for jobs with Coffman and Laub Construction, Inc.,
and may constitute grounds for discipline and/or termination after hire;
and/or may constitute grounds for further actions pursuant to law. If requested,
I can and will supply documentation that will confirm that the entries
made on this application are true, complete and correct.
I authorize Coffman and Laub Construction, Inc., and/or its agents including
consumer reporting bureaus to verify any of this information including,
but not limited to, criminal history and motor vehicle driving records.
I authorize all persons, schools, companies and law enforcement authorities
to release any information concerning my background and hereby release
any said persons, schools, companies and law enforcement authorities from
any liability for any damage whatsoever for issuing this information.
I recognize Coffman and Laub Construction, Inc., requires post offer pre-employment
drug testing, physical screening and lift evaluation (with reasonable accommodations)
to determine my ability to perform the required functions of the job. I
acknowledge Coffman and Laub Construction, Inc., has a legitimate business
reason to require testing of applicants as part of their hiring process.
I specifically consent to such controlled substance and physical tests
as Coffman and Laub Construction, Inc., may deem advisable in connection
with the hiring process and authorize the release of all test results to
Coffman and Laub Construction, Inc. I acknowledge I will be responsible
for paying the cost associated with the drug testing. Payment for drug
testing will be due at the time testing is being conducted and payable
to the facility conducting the test. I agree to have the pre-employment
testing performed at the facility designated by Coffman and Laub Construction,
Inc. Information regarding location for this facility and time of my appointment
will be provided should I be offered employment.
I acknowledge failure to achieve affirmative results of these evaluations
and tests, in Coffman and Laub Construction, Inc., sole opinion, shall
be reasonable grounds for denying or terminating your employment. In the
event you cannot meet the performance evaluation requirements for the position
applied for, you may reapply for another position within the Company; however,
the Company is in no way obligated to retain you for such other position.
I understand Coffman and Laub Construction, Inc., has in effect a Drug-Free
Workplace Policy. Upon request, a copy is available to me prior to accepting
employment. I understand, in the event I am hired, I will be required to
sign and abide by the Drug-Free Workplace Policy as a condition of my employment.
I understand that if I am hired, I will enter into an employment relationship
with Coffman and Laub Construction, Inc. (CRI) voluntarily, and acknowledge
that there is no specified length of employment. This document does not
constitute a contract of employment, either expressed or implied.