POLAMER PRECISION IS AN EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION EMPLOYER

Personal Information

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Education

High School

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College

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Work Information

Current or Most Recent Employer

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Drug and Alcohol Screening

By Submitting this application I, the applicant, understand that if I am a qualified candidate for a job opening, I will be required to undergo a drug and alcohol screening with a subsequent negative result as a condition of employment. The signing of this form is my permission for Polamer Precision, inc. or it’s agent to take samples of my urine and perform a drug screening on such samples, and to take samples of my breath and perform an alcohol screening on such samples. Further, I give my consent for the release of the test results to authorized company management for appropriate review.

Authorization

By Submitting this application I, the applicant, 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 shall be grounds for dismissal. I authorize investigation of all statements contained herein and the employers listed to give you 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 may result from furnishing same to you. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice.