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The City of Abbeville is an Equal Opportunity Employer and as such will recruit and hire employees without regard to race, color, religion, sex, national origin, age, disability, or military status.EMPLOYMENT IS CONDITIONED UPON THE APPLICANT'S SUCCESSFUL COMPLETION OF A POST-OFFER MEDICAL EXAMINATION AND DRUG SCREENING.
Start with most recent position and work back; give specific information about each position. Use separate block for each position, even if it is the same employer. A resume may be attached to the application,but may not be substituted for this section.
As an applicant for employment with the City of Abbeville, I have furnished
information for use in determining my qualifications for employment. By
submitting this application, I hereby authorize the City of Abbeville to conduct
a thorough background investigation and to further support the statements
contained herein.I hereby release the City of Abbeville, current and past employers, and references
named herein (or in accompanying resume), from liability or damage resulting from
providing the information requested.I agree to submit to a pre-employment drug screening. The results of such analysis
may be grounds for disqualifying me or terminating my employment.I agree to have a physical examination (City paid) as required for my position and
understand that any offer of employment is contingent upon my passing this physical
examination.I understand and agree that, if employed, I will be an employee “at-will” and will have
the right to terminate my employment at any time, with or without notice and with or
without cause, and that the City of Abbeville shall have the same right.If employed, I agree to abide by all present and subsequently issued personnel
procedures of the City of Abbeville.I understand the essential job functions of the position for which I am applying.I understand that if hired, I must meet the eligibility verification requirements of U.S.
Immigration and Customs Enforcement (ICE) and submit appropriate documentation
to satisfy the requirements of completing ICE Form I-9. (Most commonly used forms
of identification are (1) a Social Security Card and driver’s license, or (2) a passport.)I affirm that all statements on this form are true and accurate to the best of my
knowledge and understand that any misrepresentation or omission of facts
may result in my being disqualified from further consideration or discharged
should I already be employed by the City.My signature conveys that I have read, understand, and agree to all the statements listed
IN CONNECTION WITH, AND DURATION OF MY EMPLOYMENT (INCLUDING CONTRACT FOR SERVICES)
WITH YOU, I UNDERSTAND THAT INVESTIGATIVE BACKGROUND INQUIRES ARE TO BE MADE ON
MYSELF THAT MAY INCLUDE CONSUMER, CRIMINAL, DRIVING, ACADEMIC AND OTHER REPORTS.
THESE REPORTS WILL INCLUDE INFORMATION AS TO MY CHARACTER, WORK HABITS, PERFORMANCE
FURTHER, I UNDERSTAND THAT YOU MAY BE REQUESTING INFORMATION FROM VARIOUS FEDERAL,
STATE AND OTHER AGENCIES WHICH MAINTAIN RECORDS CONCERNING MY PAST ACADEMIC,
EMPLOYMENT (including WORKER’S COMPENSATION CLAIMS), DRIVING, CREDIT, CRIMINAL, AND CIVIL
HISTORIES AND OTHER EXPERIENCES.
I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY THIS EMPLOYER OR
ITS AGENT, INFO QUEST, INC. TO FURNISH THE ABOVE INFORMATION:
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
(DOB is requested to insure accurate retrieval of records.)
PROSPECTIVE EMPLOYER: City of Abbeville, S.C.REQUESTOR: Office of Human ResourcesRETURN FAX 843-233-9676/800-588-1152 OR EMAIL firstname.lastname@example.orgToll Free 800-507-9628/ Fax 800-588-1152
P.O. Box 15521, Surfside Beach, SC 29587
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