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If Applying For Career Or Temporary Employment:
I hereby affirm that the information I have
provided on this form is true and complete.
I understand that providing false, incomplete, or misleading
information to the company will result in the cancellation of this form
and dismissal from or refusal of employment.
I authorize WillStaff Worldwide to investigate my
background, obtain information about my character, reputation, personal
characteristics, and financial responsibility and other characteristics,
in order to evaluate me as a prospective employee, including examination
of any and all criminal records and arrests in any state, if applicable,
and to verify this information. Upon
written request, additional information as to the nature and scope of
the report, if one is made, will be provided.
I understand that WillStaff Worldwide maintains a
strict policy of prohibiting unlawful harassment, including sexual
harassment. If I feel I am
a victim of harassment, I will promptly report the facts of the instance
to the WillStaff Recruiter, Personnel Manager or Sales Manager with whom
I feel comfortable speaking.
I understand that it is WillStaff Worldwide’s
policy to select the best-qualified person for each position. No employee will be discriminated against because of race,
creed, color, religion, sex, national origin, ancestry, age, or
disability.
If Applying For Temporary Employment:
I understand that if I am employed by WillStaff
Worldwide as a temporary employee, such employment will not be for any
fixed period of time and will be on an “employed at will” basis,
which means that I, WillStaff Worldwide, or the employer, are free to
terminate my employment at any time, with or without cause, or with or
without prior notice, except as may be required by law.
I understand that, regardless of temporary
assignment location, WillStaff Worldwide is my employer.
In the event of an on-the-job injury, I will contact WillStaff
Worldwide immediately.
I understand that WillStaff Worldwide has a
“no-call, no-show” rule. If
I fail to call in for availability upon completion of my temporary
assignment, or if I fail to show up for work without first reporting the
absence to WillStaff Worldwide, my assignment will be terminated
automatically and employment with WillStaff Worldwide will be considered
to be voluntarily terminated.
As a temporary employee, I give full permission to
WillStaff Worldwide and its health care providers to test a specimen of
my urine and/or blood for screening for the presence of illegally used
drugs, alcohol, or controlled substances.
I authorize WillStaff Worldwide to disclose the results of all
tests and checks to clients to whose worksite I may be assigned, to the
State Department of Labor and Employment Security, to medical providers,
and to workers’ compensation insurance carriers.
If offered a temporary job, and if requested by
WillStaff Worldwide, I will submit to a physical examination. I understand that if I am hired as a temporary employee, I
will be required to provide proof of identify and legal work
authorization.
I understand that as a condition of my temporary
employment, the jobs I will be offered customarily provide less than
forty hours per workweek, and are classified as part-time positions.
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