I certify that the answers given herein are true and complete to the best
of my knowledge. I agree that any misrepresentation, false statement, or
omission made by me with respect to the information contained in this
application or interview(s) shall be sufficient cause to disqualify
me from consideration, or if hired, to terminate my employment.
I agree to have any of the statements herein as well as my background
investigated by Atkinson-Baker, Inc., or its agents. I understand that the
background investigation may include, but is not limited to, reviewing my
education, employment history, credit history, any public records, and
personal references. In consideration for reviewing my application and other
related information, I hereby waive and release Atkinson-Baker, Inc., its
employees and agents, and all other entities and persons, and their
respective employees and agents, from any claims I might have, including
defamation and invasion of privacy, arising out of any verbal or written
inquiries and/or any verbal or written responses related to investigation of
my background as well as the use or disclosure of such information.
I acknowledge and agree that in order to enable the Company to determine whether I possess the skills and other personal qualities necessary to qualify for the position I am applying for, the Company may engage in a testing and interview process which includes reading a full job description. The tests may include but not be limited to those that
measure intelligence, aptitude and personality traits required to meet the
requirements of the position, including but not limited to meeting the
Company's standards for performance, interpersonal relations and competence
on the job. Accordingly, I hereby release the Company (Atkinson-Baker Inc
and Master Tech) and any and all Company officers, stock holders, employees,
representatives, agents, licensees, licensors, subsidiaries, parent
corporations associated with testing services and any and all other related
individuals, corporations, partnerships and organization from any and all
claims, demands, suits and/or liabilities -- including but not limited to
claims based on any state or federal rights of privacy -- arising from or in
any way related to such testing and interview processes.
I understand that nothing contained in this pre-employment application or
in the granting of an interview is intended to create an employment
agreement. I also understand that the completion of this pre-employment
application does not indicate there are open positions and does not obligate
Atkinson-Baker, Inc., in any way.
I agree that if employed, I will abide by all policies and procedures
established by Atkinson-Baker, Inc. I understand that my employment is
"at will" that I may resign at any time, that Atkinson-Baker,
Inc., may terminate my employment at any time, with or without cause, and
that no employee or other representative of Atkinson-Baker, Inc., has the
authority to make an agreement contrary to the foregoing unless it is in
writing AND signed by the CEO of Atkinson-Baker, Inc. This constitutes my
entire agreement with Atkinson-Baker, Inc., with regard to the matters set
forth in this paragraph.
I further recognize that employment is subject to:
* Receiving satisfactory reports from all
* Approval of the management of Atkinson-Baker, Inc.,
in which employment may be offered.
I also recognize that I will be required to:
* Supply a record of birth, U.S. citizenship, or
visa status, as appropriate
statements dealing with our policy on Conflict of Interest, Confidential
Information, Drugs, Harassment, and certain other employment forms.
It is understood that if, after I have submitted this application to
Atkinson-Baker, Inc., any changes occur which affect the accuracy of the
information entered herein, it shall be my responsibility to inform
Atkinson-Baker, Inc. of such changes prior to accepting employment.
Thank you for expressing an interest in working for our company. As you may know, our company operates in accordance with principals of
"Management by Statistics" and other management tools, developed by L. Ron Hubbard, American author, philosopher and founder of the
Scientology religion. While Mr. Hubbard developed this system of management for use by the Churches of Scientology, it is non-religious
and proven to be equally applicable in the everyday business environment. It is currently utilized successfully by businesses worldwide.
Accordingly, if your application is accepted for further consideration, prior to entering into an employment agreement, you will
have the opportunity to familiarize yourself with the basics of our management system to ensure that you feel you could be comfortable
and productive in working with us.
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