I certify that the information contained in this application and all other information otherwise furnished by me shall be true, complete, and correct. I understand that incorrect, incomplete, deliberately omitted, false or misleading statements, answers or information furnished by me either verbally or in writing will subject my application to disqualification from further consideration and/or if already employed by the Canby Utility Board, when the aforementioned is detected, I will be subject to discipline up to and including discharge, for falsifying a document regardless of how much time has elapsed since the date I was employed.
It is my understanding that the Canby Utility Board may make a thorough investigation of my entire work and personal history and may verify data given in my application (unless otherwise noted) for employment, related papers, or oral interview. I specifically authorize any of the persons or organizations referenced in this application to give you any and all information they may have, personal or otherwise with regard to any subjects covered by this application and release all such parties from all liability for any damage that may result from furnishing such information to you. I authorize you to request and receive such information. I also understand that I may be asked to submit to a pre-employment drug test, a criminal history background check and credit check as a condition of employment.
If I am offered employment with such offer conditioned upon the successful completion of a physical examination, I agree to undergo said physical examination, which may include but not limited to drug screen, physical abilities/capabilities testing, x rays, examination, and laboratory tests at the time of such offer of employment, or anytime thereafter, to determine if I am physically fit for the job(s) I am to perform, or to determine if I meet the standards required of the position applied for. In addition, I also expressly authorize any physician, hospital or other institution to release any pertinent medical records or information with respect to my physical status, either concurrent or with subsequent to my employment with Canby Utility, in the event such medical records or information are related to any claim made against the Canby Utility Board.
I understand that this is an application for employment and that no employment contract is being offered or implied. I further understand that if an employment offer is made such offer may be withdrawn with or without prior notice, at any time, at the option of either the Canby Utility Board or me.
This application will remain valid for 90 days from the date I signed. If I want to be considered for additional job openings, I will submit a new application.