Current Address Dates*
Previous Address (last 7 years) Dates*
Previous Address Dates:
Except for that which I have disclosed, I have no other commitments, including, but not limited to, a non-compete or non-solicitation agreement with any current or former employers which may affect or restrict my employment with another employer
or restrict my ability to perform the duties for which I would be hired. I understand no offer or promise of employment has been made to me at this time.
I understand and agree that any employment relationship with Innovative Employer Solutions Inc or this employer would be an “at-will” relationship, meaning that Innovative and/or this employer and I have the right to terminate this employment
relationship at any time for no reason or for any reason. No verbal promises or guarantees can change this at-will relationship. Any changes to the at-will relationship or its terms must be in writing, for the agreed purpose of changing the
relationship, and signed by me and by an authorized officer of the employer.
I also agree to comply with any drug testing policy, Innovative Employer Solutions Inc or this employer may adopt, and I specifically understand and agree that Innovative and/or this employer reserves the right to require me to submit to a drug
test at the pre-employment stage as well as at any time thereafter based upon reasonable suspicion, or post-accident or injury and in any other situation where it is allowable by law. I understand that refusing to submit to a drug and/or alcohol
test will subject me to immediate termination. Also, I understand that as a condition of employment, I may be required to take a post-offer/pre-employment physical examination.
I understand that Innovative and/or this employer may contact my previous employers and I authorize those employers to disclose all records and other information relating to my employment with them. I release my previous employers from any liability
as a result of their disclosure of information about me. I also authorize Innovative and/or this employer to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold them harmless for
providing such information. I further understand that my application will be considered “active” for a maximum period of 30 days and if I wish to be considered for employment after that time, I must reapply.
I have been informed and I agree that if my assignment with any Client of Innovative ends for any reason, I must report back to Innovative within seventy-two (72) hours for possible reassignment and that unemployment benefits may be denied to
me if I fail to do so.
By signing below, I certify that all information on my resume, my employment application, or any other representations made by me are true, complete, and accurate. I understand that if any misrepresentation or omission is later found to be false
or misleading, it may result in the rejection of my application or in the immediate termination of my employment at any time. My signature below also certifies that I have read and that I acknowledge all of the above statements, that I asked
any questions I may have had, and that I fully understand all of these statements.