I certify that the information above and/or other information I furnish you is true and complete to the best of my knowledge. I understand that the firm may investigate my work and personal history and verify all data given on this application, on related papers, and in interviews, but that it is not required to do so. I authorize all individuals, schools and employers named and all financial institutions, law enforcement agencies and other persons, except as specifically limited on this application, to provide information requested about me, and I release them from liability for damages in providing this information. I understand and acknowledge that any misrepresentation or omission of fact by me can result in immediate discharge.
I understand and acknowledge that, if employed, my employment and compensation will be at the will of Cotterman Company / Conveyor Components Company and can be terminated, with or without cause, and with or without notice, at any time at my option or the option of Cotterman Company / Conveyor Components Company. I further understand and agree that no officer, manager, or employee of the Company other than it's President has now or has had in the past any authority to enter into any agreement for employment for any specified period of time or to make any agreement which is contrary to or a modification of the above described employment relationship, and that any such agreement or representation must be in writing and signed by myself and the President of Cotterman Company / Conveyor Components Company.
I consent to random drug testing and searches of my personal property on the Company's premises, at the Company's expense. I understand a refusal to take a test on request may result in a proper termination of the application process or my employment. All applicants being considered for employment may be tested for the following drugs or their metabolites:
AMPHETAMINE - Uppers/Speed
BARBITURATES - Sleeping Pills
BENZODIAZ - Valium
OPIATE - Heroin/Codeine
METHADONE - Heroin Addicts
COCAINE - Crack/Cocaine
METHAQUALONE - Quaalude's/Sleeping Pills
PHECYC-PCP - Animal Tranquilizer
PROPAXYPHENE - Darvon
CANNABINOID-THC - Marijuana
I authorize the medical clinic/testing laboratory to release any test results to the Company and the Company to use them as a determining factor in the selection and retention of employees. Applicants offered positions may be required to pass a job-related physical examination before beginning work. I authorize release of examination results to the Company.
If I am applying for a position in Michigan, I acknowledge that if I am disabled and require an accommodation to enable me to perform a job, under Michigan law, I must notify the Company of such an accommodation, in writing, within 182 days of when I knew or should have known of such a need, or I will be unable to rely on the Company's statutory duty under Michigan law to accommodate, if any.
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This application will only be considered for the 1 year period after its receipt by Cotterman Company / Conveyor Components Company. Should you wish to be considered after the expiration of this period, you must reapply.
Cotterman Company / Conveyor Components Company is an equal opportunity employer and complies with all laws prohibiting discrimination on the basis of race, color, age, sex, national origin, religion, citizenship, disability, height, weight and marital status.