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Provide your employment history beginning with your present or most recent jobs. If you were self employed, give firm name; include any military or volunteer work. Failure to give complete information regarding each job held my result in your disqualification. Complete address with zip codes and phone numbers for all employers are necessary.
I hereby acknowledge and understand that as a part of my application for employment for a position which involves the performance of safety-sensitive functions as defined by 49 CFR Part 655, as amended, I must submit to a urine drug test under the authority of the United States Department of Transportation, Federal Transit Administration. I acknowledge that any offer for employment is contingent on passing the aforementioned drug test.
In accordance with the Immigration Reform and Control Act of 1986, proof of authorization to be employed in the United States will be required of all prospective employees. Failure to establish such proof will prohibit or discontinue employment.
In the event of an emergency, please contact the following person:
I certify that the information given in this application is true and complete to the best of my knowledge. I understand that this application is not a contract for employment. I further understand that should employment be offered, my employment and compensation may be terminated with or without cause at any time by either the City of Hampton or myself. I understand that submission of the application in no way assures me a position and that no City representative has the authority to enter into any employment agreement with the city to the foregoing.Employment with the City of Hampton is contingent upon successfully passing a medical and physical examination (which will include a drug screening, provided at no cost to the applicant/employee).I understand that failure to submit a complete application may disqualify me from consideration for a position.I understand that any untrue statement in the application may result in my dismissal at any time during my employment with the City of Hampton.I authorize the release of high school and college transcripts, information concerning my previous employment and any information my former employers may have pertinent to the application and the employment procedure of the City of Hampton. I release all parties from all liability for any damage that may result from requesting, providing, processing, retaining or releasing any information about me. A photographic copy of this authorization shall be as valid as the original.I understand that resumes, letters of reference certificates, etc. submitted with the application become property of the City of Hampton and cannot be returned. The information I have provided on this application is subject to public disclosure under the Georgia Open Records Act.I understand that disclosure of my Social Security Number on this application for employment is voluntary, that this information is solicited pursuant to the employer's policies and that it is intended to be used for the purposes of identification and tracking by the employment transactions.By signing this application, I hereby acknowledge that I understand and agree to all provisions outlined herein, and that if hired, I understand that I will be on probation for a period of 1 year.
I hereby authorize an investigator of the Hampton Police Department to receive Criminal History information pertaining to me, which may be in files of any state or local criminal justice agency.
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