"I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT IF EMPLOYED FALSIFIED STATEMENTS ON THIS APPLICATION WILL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE,TO GIVE DANVILLE SERVICES OF ARIZONA, LLC (DANVILLE) ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT, AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MY RESULT FROM FURNISHING SAME TO DANVILLE.
DANVILLE IS AN AT-WILL EMPLOYER, WHICH MEANS THAT EMPLOYMENT WITH DANVILLE IS FOR AN UNSPECIFIC DURATION, AND THAT THIS EMPLOYMENT RELATIONSHIP MAY BE TERMINATED AT ANY TIME, FOR ANY REASON OR NO REASON, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, EITHER BY THE EMPLOYEE OR BY DANVILLE.
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ATTACHMENT TO APPLICATION
The Immigration Reform and Control Act (IRCA) of 1986 requires that all new employees provide verification of US citizenship, or that they possess INS authorization, to work in the United States. You will be asked to complete Section I of the I-9 on your first day of employment, and will be required to present the appropriate documents no later than your third day of employment. If we have not received your proper support documentation that verifies you are legal to work in the United States within 3 days of employment you may be terminated. Danville Services of Utah also confirms eligibility to work in the U.S. through E-Verify, an on-line government verification system.
I agree to allow the Utah Dept. of Human Services (DHS) Licensing to request background verification with the Department of Social Services and Adult and Child Abuse Register and to obtain a BCI check upon hire and annually. I understand that if I am hired, and approved is denied by DHS licensing, my employment will be terminated.
Danville Services of Utah, LLC (Danville) also reserves the right to determine whether or not I will be allowed to drive company vehicles, or transport clients in my own vehicle, based on a check of my driving record, and providing a proof of insurance. A record containing a DUI/DWI, driving on a suspended license, three or more moving violations, or violations which Danville determines are serious enough that I am not approved to drive, will prevent approval for a driving position, which may jeopardize my employment with Danville. Additionally, to drive company vehicles, or transport clients in my personal vehicle, I must be 21 years of age, if I have moved from another state, meet the specific state guidelines for obtaining a Utah driver’s license, and my vehicle must meet all state safety requirements.
The release of any and all information is authorized whether same is of record or not, and I do hereby release all persons, firms, agencies, companies, groups or installations whomsoever, from any damages of, or resulting from, furnishing such information to Danville and the Insurance Company.
If hired, I accept employment understanding the above conditions. Below I have listed my current address, and phone number.
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