Employment Application

PLEASE READ THIS

Applicants are accepted without regard to sex, race, color, national origin, physical/mental handicap, age, religion, or political affiliation. Conviction of a crime does not automatically bar any applicant from employment or other opportunities with Integrity, Inc.

*PLEASE ANSWER ALL QUESTIONS WHICH APPLY TO YOU. IF THEY DO NOT APPLY, MARK THEM N/A.

List below all schools, colleges, universities, trade/vocational, or others attended.

List or check any skills relative to the job for which you are applying.

List below your prior work experience. Include volunteer work as part of your work history.

REFERENCE AUTHORIZATION

As evidenced by my signature below I voluntarily authorize Integrity representatives to make any inquiry of my employment history through any means of Integrity’s choice. I further authorize any person including former employers to furnish any information to Integrity as may be requested and hold harmless any entity for such action. Integrity is authorized to make copies of any documentation or record and the employment decision of Integrity may be based upon any such information.

I make this Reference Authorization of my own free will without the promise or expectation of employment, immunity, threat, coercion, duress, or benefit.

Do you have any relatives who are employed by Integrity, Inc.? If so, please list them below:

Before you sign this application, check over your answers to make sure that all the questions have been completed properly. If the position you are applying for requires a college degree of certification, please attach a copy of your degree/Diploma, certificate, or license to verify your status.

I understand that any misstatement by me in this application May result in discharge if I have been employed; That if hired, my employment is at Will and May be terminated without cause; That any offer of employment May be done so conditionally subject to clearance of a criminal background investigation, child and adult maltreatment registry check, and motor vehicle registry check; That I May be required to submit to, and successfully pass a drug screening after an offer of employment has been made; And that Integrity, Inc. Reserves the right to change my work schedule as necessary, if in the best interest of integrity, inc. I voluntarily authorize integrity representatives to make any inquiry of my employment history through any means of integrity’s choice.

The purpose of this addendum is to assist Integrity, Inc. Personnel Office in processing / considering your application in compliance with your wishes and Departmental policies. This section must be completed and forwarded with your application.

Specify the hours and days of the week you are willing to work:

After an offer of employment has been made and prior to attending orientation, I understand that I am required to submit and successfully pass a drug screening. I understand that complete background checks will be conducted, including Child and Adult Maltreatment Registry checks and a State Criminal check. I understand that I will be disqualified from work for ONE CALENDAR year if my drug screen is positive. I also understand that criminal background hits may result in disqualification from employment.