Starting with your most recent/current employer first.
(A written statement from a licensed physician documenting listed restrictions may be required)
In order to permit a check of your educational and employment records, please list any changes in name or assumed name you may have used: Include birth, maiden and/or married name if different from current name.
I hereby affirm that the information provided on the application and accompanying resume, if any, is true and complete to the best of my knowledge. I also agree that any falsification or omission of required information may disqualify me from further consideration for employment and may be considered justification for dismissal from employment if discovered at a later date.
I authorize a thorough investigation of my past educational and employment activities, agree to cooperate in such investigation, and release from all liability or responsibility all persons and concerns requesting or supplying information. I understand and agree that Hartwood Foundation, Inc., may contact any or all past employers pursuant to this investigation.
It is the policy of Hartwood Foundation, Inc., not to discriminate in hiring and employment, in accordance with the requirements of all applicable State and Federal laws, on the basis of race, creed, religion, national origin, sex, citizenship status, age, or the presence of a qualified mental, physical or visual handicap.
I hereby agree to submit to any lawful drug, integrity and skill testing that may be required as a condition of my employment or continued employment and understand that unless otherwise prohibited by law, refusal to submit to such testing during the course of my employment may result in dismissal.
I understand that this application is valid for 90 days only. I also understand that if I am employed, I agree to accept the employment conditions of the company, now existing, or established in the future, including transfer from one location to another when directed by the company. In consideration of employment I agree to conform to the policies and procedures of Hartwood Foundation, Inc., and understand that the company may change these from time to time without notice; and that employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the company or me. I understand that this application is not and is not intended to be a contract for employment now or in the future. I understand that no company manual or document is intended to change this, and no manager or representative of Hartwood Foundation, Inc., other than the Executive Director has any authority to enter into any agreement for employment.
Hartwood Foundation, Inc3702 Pender Dr. Suite 410Fairfax, VA 22030
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