Pre-Employment Statement (Please read before signing)

 

The facts set forth in my application for employment are true and complete.  I understand that false statements and/or material omissions on this application may be considered cause for rejection of this application or for termination of employment.  I hereby authorize Flying Colors of Success, Inc., by and through its independent contractor, Background America, Inc. (BAI), to procure a consumer report and/or investigative consumer report on me including, work history, reference, driving record, police record inquiries and any other public record as it deems appropriate.  I also understand that continued employment may be contingent on the results of this investigation.

 

I release Flying Colors of Success, Inc., BAI, and all other parties from liability that may result from information and opinions gathered about me.  I release and indemnify Flying Colors of Success, Inc., BAI, and its representatives against any liability that arises out of such investigation. 

 

I understand that I will also receive a written disclosure of my rights under FCRA, 15 U.S.C. 1681 with the nature and sense of any investigative consumer report prepared on me upon my written request to BAI but is made within a reasonable time after the date hereof.

 

Nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between Flying Colors of Success, Inc. and myself for either employment or for the providing of any benefit.  No promises regarding employment have been made to me, and I understand that no such promise is binding upon this agency unless made in writing.  If any employment relationship is established, I understand that I have the right to terminate my employment at any time and that Flying Colors of Success, Inc. retains a similar right.

 

If offered a job at Flying Colors of Success, Inc., I consent to taking a complete pre-employment physical examination and other examinations and/or medical test(s) as may be required in the future by this agency.  I understand that my employment, or continued employment, may be contingent upon the results of these examination(s).

 

MY SIGNATURE BELOW INDICATES THAT I HAVE READ, UNDERSTOOD, AND AGREE TO THE ABOVE STATEMENTS.

 

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Signature of Applicant        Date

 

UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND ANY APPLICANT FOR EMPLOYMENT OR PROSPECTIVE EMPLOYMENT OR ANY EMPLOYEE TO SUBMIT TO OR TO TAKE

A POLYGRAPH, LIE DETECTOR OR SIMILAR TEST OR EXAMINATION AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT.  ANY EMPLOYER WHO VIOLATES THIS

PROVISION IS GUILTY OF A MISDEMEANOR AND IS SUBJECT TO A FINE NOT TO EXCEED $100.00.

 

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Signature of Applicant        Date