EmailMeForm
Supplemental Packet
Information Release
The information provided in my application for employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.
Employment Release
I expressly authorize Bios to contact all of my prior employers and personal references listed. I also expressly release all those prior employers and Bios from any and all liability arising from the information provided by my prior employers.
I hereby consent to Bios verifying all the information I have provided on this application.
I also agree to execute as a condition of employment or condition of continued employment any additional written authorization necessary for Bios to obtain access to and copies of records pertaining to this information.
I also herby authorize Bios’s access to any medical histories or records pertaining to me (and any other individuals who, due to my employment, may be covered by any company medical or other insurance program).
With regard to the forgoing disclosures, I hereby agree to release any person, company or other entity from any and all causes of action that otherwise might arise from supplying Bios statements, or misrepresentations by omission made by me on this application or any related document will be sufficient for rejection of my application or for my immediate discharge, should such falsifications or misrepresentations be discovered after I am employed.
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