By submitting this application,

I understand that if I am employed any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application and immediate discharge from the employer's services whenever it is discovered.

I give the employer the right to contact and obtain information from all referenced, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeing, gathering and using such information and all other persons, corporations or organizations for furnishing such information.

The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law.

This application is current for six months. At the conclusion of this time, if you I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized agency representative, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized agency representative.

I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.

If I am hired, I must also give the agency permission to request a check of the Adult Protective Service and Child Protective Registries be completed by the Department of Health and Human Services to determine if my name appears on those lists. I understand that if my name does appear on either of those lists, it will be grounds for immediate dismissal.

A criminal background check will also be completed at the time of hire.

I fully understand that my employment with South Central Developmental Service is contingent on satisfactory completion of the employment drug screen. I fully understand that if I do not pass the drug screen I will be terminated or will not be offered employment with South Central Developmental Services.

By submitting this application, I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.