Night Warehouse Picker/Packer

Position applied for:

Education:

• Please select your highest level of education

Employment History:

• Please give the following information for all present and previous employers, beginning with the most recent.

References:

• Please list three individual references from people who are familiar with your work, skills, ability, and character.

Background:

• Have you ever been charged with a crime or received a verdict of anything other than Not Guilty in any criminal investigation or proceeding?

Confirmations:

• I certify that answers given herein are true and complete to the best of my knowledge.
• I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
• I further understand that any information reported by me on this application that is false will be reason for immediate disqualification for consideration for employment.

Authorization for Release of Information:

• I hereby authorize the George J. Falter Company, Inc. (hereafter "the Company" or "Employer"), its employees, agents, private investigators or any representative of the aforesaid company, to perform investigations into my background, past behavior, to my character, general reputation, and mode of living.
• In addition, I further authorize investigations of the following:
• Education: I authorize schools, colleges and all scholastic institutions to release any and all information requested. This includes transcripts, grades, attendance records, and any other information requested.
• Employment: I authorize all former and current employers to release any and all information regarding my employment history. This includes all information contained in my personnel file, salary history, condemnations, and all other pertinent information. I further authorize my supervisors and other work associates to disclose their opinions and observations of my work habits, qualities, competency, and skills. Furthermore, I authorize full disclosure of any and all drug and alcohol testing results.
• I authorize custodians of the records of any agency, government agency, or company as described above to release such information upon request of any investigator, agent, or representative of the Company.
• I understand that any or all of these investigations or inquiries can be performed prior to and periodically throughout the duration of my employment.

Re-disclosure:

• I understand that the information requested is for the use by the Company and may be re-disclosed only as authorized by law.
• I understand that I have the right to request from the Company a written disclosure of the nature and scope of the investigation conducted that I authorized above.

Indemnification:

• I indemnify, release, and hold harmless the Company, any agents of the Company, or others reporting to or for the Company, any investigators, all former employers, reporting agencies, and all those supplying references and character references, from any and all claims, defamation, demands, and/or liabilities arising out of, or related to, such investigations, disclosures, or admissions.

Signature:

Copies and facsimile transmissions of this authorization that show my signature are as valid as the original release signed by me.

By checking this box I authorize the above

Other last names used:

Other states and counties that you have lived:

Resume:

Upload your resume if desired.